Mercy Medical Center, Owings Mills, Baltimore, MD.
Vanderbilt University Medical Center, Nashville, TN.
J Perianesth Nurs. 2022 Dec;37(6):827-833. doi: 10.1016/j.jopan.2022.01.001. Epub 2022 Apr 28.
The purpose of this study was to describe and validate the association between patient's self-administered correct site checklist and perceptions of importance for safe surgery.
A multisite nonexperimental, quantitative, descriptive study.
A convenience sample of 173 adult patients from four different geographical multisite hospitals was included in the study. Inclusion criteria were age 18 to 75 years old, scheduled for surgery/procedure with laterality and ability to follow instructions. After IRB approval, investigators explained the purpose of the study, process and obtained consent from willing participants. Participants with clinical or behavioral limitations were excluded from the study. Participants completed a 24 item survey before and during surgery using a four-point Likert scale from one (not important) to four (extremely important). Descriptive data was analyzed using means, standard deviations, and percentage. All data was summarized and analyzed with STATA 12.
Most of the participants perceived the importance of the survey checklist items positively implying that the active engagement is an important role for safe surgery. However, a few participants reported some of the items as not important/somewhat important: "It is on my left or right side" (6.9%); "surgery on my: (state your limb) and (right or left site) (1.9-3%); "check electronic access or copy of imaging with correct name and site" (14.9%); "state your name and birthday" (4%), "check correct ID bracelet information" (2.9%) and "believe in having an active role in preventing error" (2.3%). Some participants responded, "My surgeon knows it or surgery has been scheduled". Findings indicated that even though the importance of correct site surgery is critical for patient's surgery, a few patients reported it as noncritical and relied on healthcare team for their safety.
This study validated the importance of the patients' perceived roles in promoting safe, correct site surgery and by engaging patients in mitigating correct site surgical errors. Therefore, inclusion of patients as an integral part of the healthcare team is necessary through education and encouragement to speak out.
本研究旨在描述和验证患者自我正确部位检查表与对安全手术重要性的认知之间的关联。
一项多站点非实验性、定量、描述性研究。
本研究纳入了来自四个不同地理位置的多站点医院的 173 名成年患者作为便利样本。纳入标准为年龄在 18 至 75 岁之间、接受单侧手术/程序且能够遵循医嘱。在获得机构审查委员会批准后，研究者向愿意参与的患者解释了研究的目的、过程，并获得了同意。有临床或行为限制的患者被排除在研究之外。患者在手术前和手术期间使用四点李克特量表（从一点（不重要）到四点（非常重要））完成了 24 项调查。使用均值、标准差和百分比对描述性数据进行分析。所有数据均用 STATA 12 进行总结和分析。
大多数参与者对调查检查表项目的重要性持积极态度，这意味着积极参与是安全手术的重要角色。然而，一些参与者报告了一些不重要/有些重要的项目：“它在我的左侧或右侧”（6.9%）；“手术部位在我的（部位）和（右侧或左侧）”（1.9%-3%）；“检查电子访问或与正确名称和部位对应的影像学副本”（14.9%）；“说出你的姓名和生日”（4%）；“检查正确的 ID 手环信息”（2.9%）；“相信在预防错误方面有积极作用”（2.3%）。一些参与者回答“我的外科医生知道或手术已经安排好了”。研究结果表明，尽管正确部位手术的重要性对患者的手术至关重要，但一些患者认为不重要，并依赖医疗团队来保证安全。
本研究验证了患者在促进安全、正确部位手术中的感知角色的重要性，并通过让患者参与减轻正确部位手术错误。因此，必须将患者作为医疗团队的一个组成部分，通过教育和鼓励让他们积极参与。
