Safe surgery: evaluation of checklist adherence in a teaching hospital

Authors

  • Francielle Souza do Nascimento Marquioni Universidade Federal de Viçosa
  • Tiago Ricardo Moreira Universidade Federal de Viçosa
  • Flávia Batista Barbosa de Sá Diaz Universidade Federal de Viçosa
  • Luciane Ribeiro universidade Federal de Viçosa

DOI:

https://doi.org/10.5327/10.5327/Z1414-4425201900010006

Keywords:

Segurança do paciente, lista de checagem, procedimentos cirúrgicos operatórios

Abstract

Objective: To estimate adherence to the safe surgery checklist in a medium-sized teaching hospital. Method: A cross-sectional study with
a sample of 334 patients submitted to surgery in the year 2015. Data were collected using an instrument based on the World Health Organization’s
standard checklist. The sample was described by frequency distribution. The prevalence of adherence to the checklist was estimated considering the
presence of the instrument of check in the medical records. The bivariate analysis investigated the association of the outcome with the independent variables.
The strength of this association was evidenced through Logistic Regression. Results: The checklist was verified in 90.72% of the medical records.
No surgery had a fully filled checklist. The complete filling of the three surgical moments was found in no instrument. The existence of the checklist
in the medical record was associated with the classification of the surgery for urgency (OR=4.3; 95%CI, 1.88–8.73). Conclusion: Although the checklist
has already been introduced in the surgical practice, the results reveal that its adequate use still presents itself as a great challenge, which may compromise
the expected results in surgical safety.

Author Biographies

Francielle Souza do Nascimento Marquioni, Universidade Federal de Viçosa

Graduanda em Enfermagem

Tiago Ricardo Moreira, Universidade Federal de Viçosa

Professor Adjunto do Departamento de Medicina e Enfermagem

Flávia Batista Barbosa de Sá Diaz, Universidade Federal de Viçosa

Professora Assistente do Departamento de Medicina e Enfermagem

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Published

2019-04-10

How to Cite

Marquioni, F. S. do N., Moreira, T. R., Diaz, F. B. B. de S., & Ribeiro, L. (2019). Safe surgery: evaluation of checklist adherence in a teaching hospital. Revista SOBECC, 24(1), 22–30. https://doi.org/10.5327/10.5327/Z1414-4425201900010006

Issue

Vol. 24 No. 1 (2019)

Section

ORIGINAL ARTICLES

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