Retention of intracavitary objects in surgical procedures: safety actions proposed by specialist nurses
DOI:
https://doi.org/10.5327/Z1414-4425202227777Keywords:
Corpos Estranhos, Período Intraoperatório, Enfermagem Perioperatória, Segurança do Paciente, Time Out na Assistência à Saúde.Abstract
Aims: This study aimed to describe the safety actions to mitigate the risk of retention of intracavitary objects in surgical procedures, in the opinion of perioperative care specialist nurses. Methods: This is a qualitative study. Data from a scientific meeting held during the 14th Congress of the Brazilian Association of Nursing in the Surgical Centre, in 2019, in São Paulo. Participants were nurses specialized in perioperative nursing, randomly divided into five groups. Unavailability to participate in the meeting in full was considered an exclusion criterion. The data corpus comprised meeting recording and group records. Content analysis was used to evaluate the data. Resolution no. 466/2012 of the National Health Council (CNS) was followed.
Results: A total of 19 nurses, mostly female, from six Brazilian states participated in this study. Actions proposed by the study participants to reduce the retention of intracavitary objects included promoting continuing and multidisciplinary education; establishing and following good institutional practices; following the safe surgery protocol; integrating with the sterilization service team; using processes and technologies that contribute to increasing patient safety; counting surgical instruments and materials; and strengthening interdisciplinary work. Conclusion: Actions to reduce retention of intracavitary objects include permanent education, interdisciplinary work, and multisectoral work, following flows and protocols aimed at patient safety.
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