Gasoma ElMuhtadi B Y, Marouf Mohamed A
T&O Surgery Department, Swansea Bay UHB, United Kingdom.
Cardiothoracic Surgery Department, Royal Sultanate Hospital, Muscat, Oman.
Surg J (N Y). 2024 Dec 12;10(4):e53-e59. doi: 10.1055/s-0044-1800917. eCollection 2024 Oct.
Globally, surgical care plays a vital role in health care. Unfortunately, complications arise in approximately 5 to 18% of surgical procedures. However, research has shown that following the surgical safety checklist provided by the World Health Organization (WHO) can significantly reduce these complications and surgery-related fatalities. The objective of this study was to assess the accuracy and completion of the WHO Surgical Safety Checklist. From October 3, 2022 to February 28, 2023, a comprehensive observational study was conducted involving 300 patients who underwent elective and emergency surgeries. The completion rates for the different stages of surgery, namely sign-in, time-out, and sign-out, were determined using the SPSS 22.0 software. In our research, we specifically examined the completion of the checklist for 300 patients who underwent important procedures within a span of 5 months. For each patient, we ensured that their identities, procedures, and consent were verified with a 100% success rate. Additionally, we thoroughly checked the anesthesia equipment and drugs for safety in every case. Furthermore, all essential images were consistently displayed for each patient, achieving a 100% adherence to this crucial aspect of the process. In general, the level of completeness of the checklist was satisfactory across the sign-in, time-out, and sign-out phases. While this study did not assess the specific outcomes, it is presumed that incomplete data may have exposed patients to potential perioperative complications.
在全球范围内,外科护理在医疗保健中发挥着至关重要的作用。不幸的是,大约5%至18%的外科手术会出现并发症。然而,研究表明,遵循世界卫生组织(WHO)提供的手术安全检查表可显著减少这些并发症及与手术相关的死亡。本研究的目的是评估WHO手术安全检查表的准确性和完成情况。
2022年10月3日至2023年2月28日,开展了一项全面的观察性研究,涉及300例行择期和急诊手术的患者。使用SPSS 22.0软件确定手术不同阶段(即签到、暂停和签出)的完成率。
在我们的研究中,我们专门检查了5个月内接受重要手术的300名患者的检查表完成情况。对于每位患者,我们确保其身份、手术和同意均得到核实,成功率达100%。此外,我们在每种情况下都彻底检查了麻醉设备和药物的安全性。此外,为每位患者始终显示所有必要图像,在这一关键流程方面的遵守率达到100%。
总体而言,检查表在签到、暂停和签出阶段的完整程度令人满意。虽然本研究未评估具体结果,但据推测,不完整的数据可能使患者面临潜在的围手术期并发症。