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[Adherence to completion of the safe surgery checklist]
Helen Cristiny Teodoro Couto Ribeiro1, Humberto Ferreira de Oliveira Quites1, Ana Caroline Bredes2
1Universidade Federal de São João del-Rei, Divinópolis, Brasil.
Cadernos De Saude Publica
|November 9, 2017
Summary
This study assessed safe surgery checklist completion in a public hospital from 2010-2015. Overall adherence was 58.5%, with specific items frequently omitted, indicating persistent gaps in surgical safety practices.
Area of Science:
- Healthcare Management
- Patient Safety
- Surgical Quality Improvement
Background:
- The safe surgery checklist is crucial for reducing surgical errors and improving patient outcomes.
- Adherence to the safe surgery checklist by healthcare professionals is essential for effective implementation.
- Understanding adherence patterns can identify areas for targeted interventions in surgical centers.
Purpose of the Study:
- To evaluate the adherence to completion of the safe surgery checklist and its items.
- To analyze adherence trends over a five-year period (2010-2015) in a public hospital's surgical center.
- To identify specific items with low or no adherence within the checklist.
Main Methods:
- Retrospective document analysis of surgical records.
- Inclusion of all surgeries performed between 2010 and 2015.
- Quantitative assessment of safe surgery checklist completion rates and item usage.
Main Results:
- A total of 24,421 surgeries were analyzed, with 58.5% checklist completion rate.
- Higher adherence was observed only on weekdays in the first study year, despite a designated checklist coordinator.
- Significant variations in completion existed across surgical times, with critical items like patient identification and surgical site frequently omitted in early surgical times.
Conclusions:
- Overall adherence to the safe surgery checklist remained suboptimal and showed no significant improvement over the study period.
- Specific checklist items, vital for patient safety, were consistently underutilized, highlighting critical gaps in protocol adherence.
- Targeted interventions and continuous monitoring are necessary to improve safe surgery checklist compliance and enhance patient safety in surgical settings.
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