Implementation and daily use of the surgical safety checklist in hospitals
DOI:
https://doi.org/10.5327/Z1414-4425202000040003Keywords:
Lista de checagem, Organização Mundial da Saúde, Segurança do paciente.Abstract
Objective: To identify the implementation process and the daily use of the surgical safety checklist, according to the report of nurses who worked
in the surgical center of hospitals. Method: Descriptive-exploratory study, with a sample of 77 nurses. Data collection took place over six months in
2016, with the application of an instrument prepared and submitted to face and content validation. In the data analysis, descriptive statistics was adopted.
Results: The realization of an educational program was essential in the process of implementing the surgical safety checklist. The circulator nurse was
responsible for checking the instrument daily in the operating room. Most nurses reported partial adherence to the use of the checklist by the surgical
team; there was difference in adherence between the checking stages (sign in, time out, and sign out) and between professional categories. Conclusion:
The knowledge produced offers subsidies for the implementation of the instrument and the use of strategies that can assist in daily clinical practice.
References
Weiser TG, Haynes AB. Ten years of the surgical safety checklist. Br J Surg. [Internet]. 2018[citado 2020 mai 12];105(8):927-929 Disponível em: https://pubmed
World Health Organization. WHO guidelines for safe surgery 2009. Safe Surgery Saves Lives. [Internet] Geneva (CHE): WHO; 2009 [citado 2017set 18];123p. Available from: http://www.who.int
Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. [Internet]. 2014[citado 2020 mai 06];23(4):299-318. Disponível em: 23922403
Gillespie BM, Marshall A. Implementation of safety checklists in surgery: a realist synthesis of evidence. Implement Sci. 2015[citado 2020 mai 11];10(137):1-14. Disponível em: 26415946
Safe Surgery Checklist Implementation Guide. Boston: Ariadne Labs; 2015. [citado 2017 fev 23]. Disponível em: http://www.safesurgery
Tostes MFP, Galvão CM. Processo de implementação da Lista de Verificação de Segurança Cirúrgica: revisão integrativa. Rev. Latino-Am. Enfermagem [Internet]. 2019 [citado 2020 mai 03];27: e3104. Disponível em: https://doi.org/10.1590
Freitas MR, Antunes AG, Lopes BNA, Fernandes FC, Monte LC, Gama ZAS. Avaliação da adesão ao checklist de cirurgia segura da OMS em cirurgias urológicas e ginecológicas, em dois hospitais de ensino de Natal, Rio Grande do Norte, Brasil. Cad. Saúde Pública [Internet]. 2014[citado 2020 mai 03];30(1):137-48. Disponível em: https://www.scielo.br
Santana HT, Freitas MR, Ferraz EM, Evangelista MS. WHO safety surgical checklist implementation evaluation in public hospitals in the Brazilian Federal District. J Infect Public Health [Internet].2016[citado 2020 mai 03];9(5):586-99. Disponível em: 26924253/
Cadman V. Use of the WHO Surgical Safety Checklist in low and middle income countries: a review of the literature. J Perioper Pract. [Internet]. 2018[citado 2020 mai03]; 28(12):334-338. Disponível em: https://journals.sagepub
Gagliardi AR, Straus SE, Shojania KG, Urbac DR. Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study. PloS One[Internet]. 2014[citado 2020 mai12];9(9):1-8. Disponível em: 25260030/
Nugent E, Hseino H, Ryan K, Traynor O, Neary P, Keane FBV. The surgical safety checklist survey: a national perspective on patient safety. Ir J Med Sci. [Internet]. 2013[citado 2020 mai12];182(2):171-6. Disponível em: pubmed22968898/
O’Connor P, Reddin C, O’Sullivan M, O’Duffy F, Keogh I. Surgical checklists: the human factor. Patient Saf Surg. [Internet]. 2013[citado 2020 mai12];7(1):14-20. Disponível em: pssjournal.biomedcentral
Ong APC, Devcich DA, Hannam J, Lee T, Merry AF, Mitchell SJ. A ‘paperless’ wall-mounted surgical safety checklist with migrated leadership can improve compliance and team engagement. BMJ Qual Saf. [Internet]. 2016[citado 2020 mai12];25(12):971-6. Disponível em: qualitysafety
Lilaonitkul M, Kwikiriza A, Ttendo S, Kiwanuka J, Munyarungero E, Walker IA, et al. Implementation of the WHO surgical safety checklist and surgical swab and instrument counts at a regional referral hospital in Uganda–a quality improvement project. Anaesthesia [Internet]. 2015[citado 2020 mai12];70(12):1345-55. Disponível em: pubmed.26558855/
Russ S, Rout S, Caris J, Mansell J, Davies R, Mayer E, et al. Measuring variation in use of the WHO Surgical Safety Checklist in the operating room: a multicenter prospective cross-sectional study. J Am Coll Surg. [Internet]. 2015[citado 2020 mai12];220(1):1-11. Disponível em: pubmed25456785/
Rydenfält C, Ek A, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. [Internet]. 2014[citado 2020 mai12];23(3):183-6. Disponível em: pubmed4092906/
Weiser TG, Berry WR. Review article: perioperative checklist methodologies. Can J Anaesth. [Internet]. 2013[citado 2020 mai12];60(2):136-42. Disponível em: pubmed23233394/
Rydenfält C, Johansson G, Odenrick P, Akerman K, Larsson PA. Compliance with the WHO surgical safety checklist: deviations and possible. Int J Qual Health Care [Internet]. 2013[citado 2020 mai12];25(2):182-7. Disponível em: pubmed23335056/
Leape LL. The Checklist Conundrum. N Engl J Med. [Internet]. 2014[citado 2020 mai12];370(11):1063-4. Disponível em: pubmed/24620871/
Berry WR, Edmondson L, Gibbons LR, Childers AK, Haynes AB, Foster R et al. Scaling safety: the south Carolina Surgical Safety Checklist experience. Health Affairs [Internet]. 2018[citado 2020 mai03];37(11):1779–1786. Disponível em: https://pubmed
Oliveira MCB, Korb A, Zocche DAA, Bezerra DC, Pertille F, Frigo J. Adesão do checklist cirúrgico à luz da cultura de segurança do paciente. Rev. SOBECC [Internet]. 2018;[citado 2020 mai13];23(1):36-42. Disponível em: sobecc.393/
Downloads
Published
How to Cite
Issue
Section
License
By publishing in Revista SOBECC, authors retain the copyright of their article and agree to license their work using a Creative Commons Attribution (CC BY 4.0) International Public License, thus accepting the terms of this license. The CC BY 4.0 license allows others to distribute, remix, adapt, and create from the published article, even for commercial purposes, provided they give due credit to the creators of the work (authors of the article).
The authors grant to Revista SOBECC the right of first publication, to identify itself as the original publisher, and grant to the journal a non-exclusive license to use the work in the following ways: (1) to sell and/or distribute the article in hard copies and/or in electronic format; (2) to distribute parts and/or the entire article in order to promote the journal through the internet and other digital and printed media; (3) to record and reproduce the article in any format, including digital media.
With this license, authors can enter into separate contracts for non-exclusive distribution of the article (e.g., publishing in an institutional repository or as a book chapter), with acknowledgement of authorship and initial publication in Revista SOBECC. Authors are encouraged to publish and distribute their work online after publication in the Revista SOBECC, as this can increase the article's visibility and impact.
In line with the journal's policies, each published article will be assigned a CC BY 4.0 license, which will be visible on the abstract page and in the PDF of each article with the respective link to the license terms.