Use of the Surgical Safety Checklist in a maternity teaching hospital in the state of Ceará, Brazil

Authors

DOI:

https://doi.org/10.5327/Z1414-4425202328902

Keywords:

Patient safety, Checklist, Quality indicators, health care, Surgicenters. Unified Health System

Abstract

ABSTRACT: Objective: To identify the use and completion effectiveness of the Surgical Safety Checklist in a maternity teaching hospital school in the state of Ceará, Brazil. Method: This is a documentary and retrospective study, with a quantitative approach. Data were collected based on the records of 816 Surgical Safety Checklists (SSC) from procedures performed between 2018 and 2021. The SSC is organized in three stages, and a comprehensive analysis of the overall completion and completion by stage was carried out. Two indicators were listed: completion of the items rate and completeness of the SSC rate. The latter indicator considered only the checklists that were fully completed. The study was approved by the Research Ethics Committee. Results: The completion of the items rate was 98.1%, indicating that the lack of completion of a few items made total completion unfeasible. The first stage (Sign In) had the highest completion rate, with 98.8% of items checked. However, the completeness percentage, that is, fully completed checklists, was 64.7%, ranging from 38.2% in 2018 to 76% in 2021, with a decrease to 72% in 2020 compared to 2019 (73%). Conclusion: Over the four studied years, we observed that the fully completed checklists rate fluctuated, considering that we did not observe a constant growth, demonstrating weaknesses in the completion. The incompleteness of the checklists demands implementing training strategies for teams regarding this activity.

Author Biographies

Alexia Costa e Silva Barros , Unichristus – Fortaleza (CE), Brasil.

Acadêmica de enfermagem do Centro Universitário Christus.

Lívia Costa Pereira, Maternidade Escola Assis Chateuabriand – Fortaleza (CE), Brasil.

Acadêmica de enfermagem do Centro Universitário Christus.

Raquel Mota Cavalcante, Maternidade Escola Assis Chateuabriand – Fortaleza (CE), Brasil.

Enfermeira da Unidade de Segurança do Paciente da Maternidade-Escola Assis Chateaubriand.

Luciana Maria de Oliveira Nascimento, Maternidade Escola Assis Chateuabriand – Fortaleza (CE), Brasil.

Enfermeira. Especialista em Enfermagem pela Universidade Federal de Ceará.  Especialista em Educação Profissional pela Escola Nacional de Saúde Pública. Especialista em Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização pela Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização (SOBECC). Mestre em Enfermagem pela Universidade Federal do Ceará.

Emeline Moura Lopes, Maternidade Escola Assis Chateuabriand – Fortaleza (CE), Brasil.

Enfermeira. Especialista em Enfermagem obstétrica pela Universidade Estadual do Ceará. Especialista em Informática em Saúde pela UNIFESP. Especialista em Qualidade em saúde e Segurança do Paciente. pela Fiocruz. Doutora Doutora em Enfermagem na Promoção da Saúde pela Universidade Federal do Ceará.

References

Faria LR, Moreira TR, Carbogim FC, Bastos RR. Effect of the Surgical Safety Checklist on the incidence of adverse events: contributions from a national study. Rev Col Bras Cir. 2022;49:e20223286. https://doi.org/10.1590/0100-6991e-20223286_en DOI: https://doi.org/10.1590/0100-6991e-20223286_en

Organização Panamericana de Saúde. Taxas de cesarianas continuam aumentando em meio a crescentes desigualdades no acesso, afirma OMS [Internet]. 2021 [acessado em 27 jul. 2023]. Disponível em: https://www.paho.org/pt/noticias/16-6-2021-taxas-cesarianas-continuam-aumentando-em-meio-crescentes-desigualdades-no-acesso.

Barison GAS, Pinto LFA, Maranhão DDA, Gomes MTV, Podgaec S. Panorama atual do ensino em cirurgia ginecológica minimamente invasiva. FEMINA. 2023;51(3):147-50

Covre ER, Melo WA, Tostes MFP, Fernandes CAM. Tendência de internações e mortalidade por causas cirúrgicas no Brasil, 2008 a 2016. Rev Col Bras Cir. 2019;46(1):e1979. https://doi.org/10.1590/0100-6991e-20191979 DOI: https://doi.org/10.1590/0100-6991e-20191979

Brasil. Ministério da Saúde. Procedimentos hospitalares do SUS – por local de internação [Internet]. [acessado em 27 jul. 2023]. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sih/cnv/qiuf.def.

Minayo MCS, Gualhano L. Existe solução para o excesso de cesarianas no Brasil? SciELO em Perspectiva. Press Releases; 2022

Silva LF, Almeida CPS, Batista DF, Mariani Neto C. Estudo da incidência de cesáreas de acordo com a Classificação de Robson em uma maternidade pública. FEMINA. 2020;48(2): 114-21

Organização Mundial da Saúde. Segundo desafio global para a segurança do paciente: cirurgias seguras salvam vidas [Internet]. Rio de Janeiro: Organização Pan-Americana da Saúde/Ministério da Saúde/Agência Nacional de Vigilância Sanitária; 2009. [acessado em 18 mar. 2018]. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/seguranca_paciente_cirurgia_salva_manual.pdf

Batista J, Cruz EDA, Alpendre FT, Rocha DJM, Brandão MB, Maziero ECS. Prevalência e evitabilidade de eventos adversos cirúrgicos em hospital de ensino do Brasil. Rev Latino-Am Enfermagem. 2019;27:e2939. https://doi.org/10.1590/1518-8345.2939.3171 DOI: https://doi.org/10.1590/1518-8345.2939.3171

Nazário SS, Cruz EDA, Batista J, Silva DP, Pedro RL, Laynes RL. Caracterização de eventos adversos hospitalares: busca ativa versus notificação espontânea. Cogitare Enferm. 2022;27:e82040. https://doi.org/10.5380/ce.v27i0.82040 DOI: https://doi.org/10.5380/ce.v27i0.82040

Oliveira TC, Silva JMO, Nagliate PC, Veríssimo RCSS, Sales MLH, Lucena TS. Eventos adversos e fatores associados em maternidades de alto risco. Enferm Foco. 2020;11(5):179-86 DOI: https://doi.org/10.21675/2357-707X.2020.v11.n5.3200

World Health Organization. World Alliance for patient safety: forward programme 2005. Geneva: WHO; 2004

Barreto FC, Santos JP, Moura MLC. Implantação da lista de verificação de cirurgia segura: revisão integrativa. Glob Acad Nurs. 2021;2(Sup. 3):e186. https://doi.org/10.5935/2675-5602.20200186 DOI: https://doi.org/10.5935/2675-5602.20200186

Gehres ARD, Cremonese L, Schuh LX. Implementation and adhesion of the safe surgery checklist in hospital institutions: integrative review. Res Soc Dev. 2020;9(8):e97985093. https://doi.org/10.33448/rsd-v9i8.5093 DOI: https://doi.org/10.33448/rsd-v9i8.5093

Sibhatu MK, Taye DB, Gebreegziabher SB, Mesfin E, Bashir HM, Varallo J. Compliance with the World Health Organization’s surgical safety checklist and related postoperative outcomes: a nationwide survey among 172 health facilities in Ethiopia. Patient Saf Surg. 2022;16(1):20. https://doi.org/10.1186/s13037-022-00329-6 DOI: https://doi.org/10.1186/s13037-022-00329-6

Ribeiro L, Fernandes GC, Souza EG, Souto LC, Santos ASP, Bastos RR. Checklist de cirurgia segura: adesão ao preenchimento, inconsistências e desafios. Rev Col Bras Cir. 2019;46(5):e20192311. https://doi.org/10.1590/0100-6991e-20192311 DOI: https://doi.org/10.1590/0100-6991e-20192311

Rinaldi LC, Matilde JD, Prata RA, Castro AB, Avila MAG. Adesão ao checklist de cirurgia segura: análise das cirurgias pediátricas. Rev SOBECC. 2019;24(4):185+92. https://doi.org/10.5327/Z1414-4425201900040003 DOI: https://doi.org/10.5327/Z1414-4425201900040003

Marquioni FSN, Moreira TR, Diaz FBBS, Ribeiro L. Cirurgia segura: avaliação da adesão ao checklist em hospital de ensino. Rev SOBECC. 2019;24(1):22-30. https://doi.org/10.5327/10.5327/Z1414-4425201900010006 DOI: https://doi.org/10.5327/10.5327/Z1414-4425201900010006

Ribeiro HCTC, Quites HFO, Bredes AC, Sousa KAS, Alves M. Adesão ao preenchimento do checklist de segurança cirúrgica. Cad Saúde Pública. 2017;33(10):e00046216. https://doi.org/10.1590/0102-311X00046216 DOI: https://doi.org/10.1590/0102-311x00046216

Allene MD. Clinical audit on World Health Organization surgical safety checklist completion at Debre Berhan comprehensive specialized hospital: a prospective cohort study. Int J Surg Open. 2020;24:161-5. https://doi.org/10.1016/j.ijso.2020.05.013 DOI: https://doi.org/10.1016/j.ijso.2020.05.013

Ambulkar R, Ranganathan P, Salunke K, Savarkar S. The World Health Organization Surgical Safety Checklist: an audit of quality of implementation at a tertiary care high volume cancer institution. J Anaesthesiol Clin Pharmacol. 2018;34(3):392-8. https://doi.org/10.4103/joacp.JOACP_328_17 DOI: https://doi.org/10.4103/joacp.JOACP_328_17

Souza RM, Araújo MGS, Veríssimo RCSS, Comassetto I, Ferreira FAS, Bernardo THL. Aplicabilidade do checklist de cirurgia segura em centros cirúrgicos hospitalares. Rev SOBECC. 2016;21(4):192-7. https://doi.org/10.5327/Z1414-4425201600040003 DOI: https://doi.org/10.5327/Z1414-4425201600040003

Sewell M, Adebibe M, Jayakumar P, Jowett C, Kong K, Vemulapalli K, et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop. 2011;35(6):897-901. https://doi.org/10.1007/s00264-010-1112-7 DOI: https://doi.org/10.1007/s00264-010-1112-7

Organização Panamericana de Saúde. Saúde materna [Internet]. [acessado em 28 jul. 2023]. Disponível em: https://www.paho.org/pt/node/63100#:~:text=Causas%20da%20mortalidade%20materna&text=As%20principais%20complica%C3%A7%C3%B5es%2C%20que%20representam,normalmente%20depois%20do%20parto)%3B.

Schwendimann R, Blatter C, Lüthy M, Mohr G, Girard T, Batzer S, et al. Adherence to the WHO surgical safety checklist: an observational study in a Swiss academic center. Patient Saf Surg. 2019;13:14. https://doi.org/10.1186/s13037-019-0194-4 DOI: https://doi.org/10.1186/s13037-019-0194-4

Gul F, Nazir M, Abbas K, Khan AA, Malick DS, Khan H, et al. Surgical safety checklist compliance: the clinical audit. Ann Med Surg (Lond). 2022;81:104397. https://doi.org/10.1016/j.amsu.2022.104397 DOI: https://doi.org/10.1016/j.amsu.2022.104397

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Published

2023-12-05

How to Cite

Barros , A. C. e S., Costa Pereira, L., Cavalcante, R. M., Nascimento, L. M. de O., & Lopes, E. M. (2023). Use of the Surgical Safety Checklist in a maternity teaching hospital in the state of Ceará, Brazil. Revista SOBECC, 28. https://doi.org/10.5327/Z1414-4425202328902

Issue

Vol. 28 (2023)

Section

ORIGINAL ARTICLES

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Copyright (c) 2023 Alexia Costa e Silva Barros , Lívia Costa Pereira, Raquel Mota Cavalcante, Luciana Maria de Oliveira Nascimento, Emeline Moura Lopes

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