Thanh Nguyen Duc, Thanh Tran Chi, Nguyet Ha Thi Minh, Nhiem Nguyen Thi Thanh, Hung Phung Thanh
Department of Hospital Management, Health Management Training Institute, Hanoi University of Public Health, Hanoi, Vietnam.
Nguyen Tat Thanh University, Ho Chi Minh, Vietnam.
J Perioper Pract. 2024 Sep 13:17504589241268647. doi: 10.1177/17504589241268647.
The WHO Surgical Safety Checklist has been instrumental in reducing surgical deaths by 47% globally since its inception in 2009. A study was conducted to assess the compliance of hospital staff with the Surgical Safety Checklist and identify potential barriers to its implementation at a large tertiary public hospital in Vietnam. The study analysed 135 surgical cases between February and September 2021 using the Pareto principle with eight error categories, including (1) patient identification, (2) equipment, (3) risk management, (4) blood loss, (5) allergy, (6) items left inside the patient, (7) surgical specimens and (8) patient safety and recovery management. Compliance with the Surgical Safety Checklist was between 77% and 93%, with five categories accounting for more than 80% of errors. Periodic monitoring and staff training can improve compliance and help reduce errors for better patient safety. Long-term solutions addressing infrastructure challenges are also crucial.
自2009年问世以来，世界卫生组织手术安全核对表在全球范围内将手术死亡率降低了47%。越南一家大型三级公立医院开展了一项研究，以评估医院工作人员对手术安全核对表的遵守情况，并确定其实施过程中的潜在障碍。该研究在2021年2月至9月期间，运用帕累托原则，对135例手术病例进行了分析，涉及八个错误类别，包括（1）患者识别、（2）设备、（3）风险管理、（4）失血、（5）过敏、（6）遗留在患者体内的物品、（7）手术标本以及（8）患者安全与康复管理。对手术安全核对表的遵守率在77%至93%之间，其中五个类别占错误的80%以上。定期监测和员工培训可以提高遵守率，并有助于减少错误，以提高患者安全性。解决基础设施挑战的长期解决方案也至关重要。
