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Surgical count process: evidence for patient safety
Patrícia Scotini Freitas1, Karina Dal Sasso Mendes2, Cristina Maria Galvão2
1Universidade Federal de Alfenas (UNIFAL), Escola de Enfermagem. Alfenas, Minas Gerais, Brasil.
Revista Gaucha De Enfermagem
|March 9, 2017
Summary
Surgical counts are performed in most hospitals, with significant links to institution type and the presence of surgical technologists. This study analyzes the surgical count process in São Paulo.
Area of Science:
- Nursing
- Surgical Care
- Healthcare Management
Background:
- The surgical count process is critical for patient safety.
- Understanding current practices is essential for quality improvement in surgical centers.
Purpose of the Study:
- To analyze the surgical count process based on nurses' reports in São Paulo surgical centers.
- To identify factors influencing the implementation of surgical counts.
Main Methods:
- Cross-sectional study involving 55 nurses in São Paulo.
- Data collected August-December 2013 using a validated instrument.
- Examined nurse, hospital, and surgical count process variables.
Main Results:
- 94.5% of nurses reported active surgical count processes.
- Significant association found between surgical counts and institution type (P=0.046).
- Surgical technologists significantly impacted instrument (P<0.001) and sponge (P=0.016) counts.
Conclusions:
- The study provides insights into the execution of surgical counts.
- Highlights the role of institution type and surgical technologists in count accuracy.
- Contributes to understanding the 'how,' 'who,' and 'when' of surgical counts.
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