Krupic Ferid, Rahim Yassir Abdul, Grbic Kemal, Lindström Parvaneh
Department of Anesthesiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Int J Appl Basic Med Res. 2022 Apr-Jun;12(2):111-116. doi: 10.4103/ijabmr.ijabmr_11_22. Epub 2022 May 10.
In Sweden, during specialty training, the nurse anesthetist learns how to ensure patient safety in a health-care setting by implementing the surgical checklist measures during perioperative care. To date, there are still considerable shortcomings when it comes to implementing these patient safety measures in Swedish hospitals.
The purpose of this study is to describe the use of the WHO surgical safety checklist (WHOSSC) by surgical teams, with special emphasis on nurse anesthetists to increase patient safety.
This descriptive questionnaire-based study was performed between September 2018 and March 2019 and included 196 health-care professionals who completed the questionnaire. The survey was carried out among all the health-care professionals at two surgical units at a university hospital during the data collection period.
The results reveal that the majority of health-care staff in this study agree with the need to implement the WHOSSC during surgery and the necessity of doing so to ensure patient safety. However, it is not clear whether this checklist needs to be made a matter of routine at the clinics and whether this is possible in emergency situations.
The nurse anesthetists, as members of the surgical team, use the list all the time in emergency situations and conclude, like other members of the team, that the list improves patient safety. Clearer procedures are needed during surgery regarding the usage of the checklist in practice, and there should be a designated person in the surgical team responsible for implementing the checklist.
在瑞典,在专科培训期间,麻醉护士学习如何通过在围手术期护理中实施手术核对表措施来确保医疗环境中的患者安全。迄今为止,瑞典医院在实施这些患者安全措施方面仍存在相当大的不足。
本研究的目的是描述手术团队对世界卫生组织手术安全核对表(WHOSSC)的使用情况,特别强调麻醉护士以提高患者安全。
这项基于问卷的描述性研究于2018年9月至2019年3月进行,包括196名完成问卷的医疗保健专业人员。在数据收集期间,对一家大学医院两个手术科室的所有医疗保健专业人员进行了调查。
结果显示,本研究中的大多数医护人员认同在手术期间实施WHOSSC的必要性以及这样做对确保患者安全的必要性。然而,尚不清楚该核对表是否需要在诊所成为常规事项,以及在紧急情况下是否可行。
麻醉护士作为手术团队的成员,在紧急情况下一直使用该核对表,并与团队其他成员一样得出结论,即该核对表提高了患者安全。在手术期间,需要在实践中就核对表的使用制定更明确的程序,并且手术团队中应有指定人员负责实施核对表。