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Adaptación del checklist de seguridad modificado de la OMS para anestesia fuera del quirófano: Un proyecto de mejora
1Dr. Faraz Mansoor, FCPS (Anesthesia), FCPS (Critical Care Medicine) Consultant Anesthetist, Department of Anesthesia, Shaukat Khanum Memorial Cancer Hospital and Research Center, Peshawar, Pakistan.
Pakistan journal of medical sciences
|February 25, 2026
Resumen
La implementación de un checklist de seguridad modificado de la Organización Mundial de la Salud (OMS) en radiología mejoró significativamente el cumplimiento de los estándares del Royal College of Radiologists (RCR). Este checklist adaptado mejoró la seguridad del paciente en entornos de anestesia fuera del quirófano.
Área de la Ciencia:
- Imagenología Médica y Radiología
- Seguridad del Paciente
- Anestesiología
Sus antecedentes:
- Los checklists de seguridad del paciente son cruciales para reducir los errores médicos.
- La aplicación de los checklists de seguridad de la Organización Mundial de la Salud (OMS) fuera del quirófano es inconsistente.
- El cumplimiento de los estándares del Royal College of Radiologists (RCR) en radiología requiere evaluación.
Objetivo del estudio:
- Auditar el cumplimiento de los estándares del RCR en un departamento de radiología.
- Evaluar la efectividad de un checklist de seguridad modificado de la OMS para radiología.
- Mejorar la seguridad del paciente durante la sedación para procedimientos de imagen.
Principales métodos:
- Se realizó una auditoría prospectiva en el Departamento de Radiología de un hospital.
- Se recopilaron datos de registros de pacientes, registros de equipos, inventarios de medicamentos y capacitación del personal para 30 pacientes sometidos a sedación.
- Se desarrolló e implementó un checklist de seguridad modificado de la OMS, seguido de una reauditoría de 55 pacientes.
Principales resultados:
- La auditoría inicial reveló cero cumplimiento en el uso del checklist de seguridad entre 30 pacientes.
- Tras la introducción de un checklist modificado, la reauditoría mostró un cumplimiento del 100% de todos los estándares del RCR para 55 pacientes.
- El checklist modificado incluyó la identificación de pacientes de alto riesgo y la doble verificación de medicamentos.
Conclusiones:
- La adaptación del checklist de seguridad de la OMS para radiología mejoró la adherencia a los estándares internacionales de seguridad.
- El checklist adaptado abordó eficazmente las brechas de seguridad identificadas.
- Las auditorías regulares y los checklists personalizados son vitales para mejorar la seguridad del paciente en la anestesia fuera del quirófano.
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