Implementation of the surgical safety checklist for pediatric operations: compliance assessment
Raquel Elisa de Almeida1, Maria Cristina Soares Rodrigues1
1Universidade de Brasília (UnB). Faculdade de Ciências da Saúde, Programa de Pós-Graduação Enfermagem. Brasília, DF, Brasil.
Insights
Compliance with the surgical safety checklist is low, with significant gaps in completeness and adherence. This highlights systematic risks to surgical patients, necessitating immediate safety interventions.
Area of Science:
- Healthcare quality improvement
- Patient safety in surgery
- Surgical process analysis
Background:
- The surgical safety checklist (SSC) is crucial for reducing preventable surgical errors.
- Effective implementation of the SSC is essential for patient safety.
- Non-compliance with the SSC poses significant risks to surgical patients.
Purpose of the Study:
- To evaluate compliance with the surgical safety checklist in pediatric surgeries.
- To identify specific areas of non-adherence to the SSC.
- To assess the impact of checklist non-compliance on patient safety.
Main Methods:
- An evaluative, observational, cross-sectional, and descriptive study.
- Quantitative approach involving 431 pediatric surgeries.
- Data collected via non-participant observation and analyzed using descriptive statistics.
Main Results:
- The SSC was performed in 90.3% of surgeries, but completeness and verbal adherence were absent in all cases.
- 95.4% of surgeries proceeded despite identified safety failures.
- Observed issues included inappropriate checks, timing inaccuracies, and missing key personnel.
Conclusions:
- Significant nonconformities exist in SSC adherence and safe surgical practices.
- These findings indicate systematic risks to surgical patients.
- Immediate interventions are required to improve surgical safety and checklist compliance.
Objective:
To evaluate compliance with the surgical safety checklist.
Methods:
Evaluative, observational, cross-sectional and descriptive study with a quantitative approach, performed in 431 pediatric surgeries, in a public hospital in the Federal District, between August 2017 and February 2018. Data were collected by non-participant observation and analyzed by descriptive statistics.
Results:
The checklist was performed in 90.3% of the surgeries, however, the completeness of the instrument and the verbal adherence to all the items were not observed in any procedure. 95.4% of the surgeries continued even with the identification of failures in safety processes. Inappropriate checks, inaccuracy of timing, performance in the absence of key professionals, and lack of active participation were observed.
Conclusions:
The study showed the existence of nonconformities in the adherence to the checklist and in the execution of safe practices, being an alert for the systematic risk suffered by the surgical patient and for the need for immediate interventions.
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