Abstract

to identify the implementation process of the World Health Organization Surgical Safety Checklist in Brazilian hospitals. this is a cross-sectional study with 531 participants during a Congress of Perioperative Nursing, promoted by the Brazilian Association of Operating Room Nurses, Anesthetic Recovery and Material and Sterilization Center, in 2017. among the nursing professionals included, 84.27% reported the checklist implementation in the workplace. Regarding daily application in the Sign-in stage, 79.65% of professionals confirmed patient identification with two indicators; in the Time-out stage, 51.36% of surgeries started regardless of confirmation of one of the items. In the Sign-out stage, 69.34% of professionals did not count or occasionally counted the surgical instruments and suture needles, and only 36.36% reviewed concerns about postoperative recovery. this study identified needs for improvements in applying the checklist in the Brazilian reality, to guarantee safer surgical procedures.

Highlights

  • Study design, setting and sampleThe number of surgeries has progressively increased over the years, with an estimated 312,93 million procedures worldwide[1]

  • Nursing professionals attending the event and who worked at an operating room (OR) were invited to participate in the study, and they agreed after signing the Informed Consent Form (ICF)

  • The number of respondents varied between 531 and 280 subjects among the responses received per item, and so, the number of responses received for each assessed item is presented in the following tables

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Summary

Introduction

Study design, setting and sampleThe number of surgeries has progressively increased over the years, with an estimated 312,93 million procedures worldwide[1]. In 2013, the Brazilian Ministry of Health approved a protocol for safe surgery, which guides the application of a checklist in all health establishments that perform procedures, inside or outside the OR, involving an incision in the human body or introduction of endoscopic equipment by any health professional. This action was aimed at preventing and reducing the incidence of adverse events, enhancing patient safety assurance[4,5]

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