Abstract
The perioperative period comprises the moments before, during and after surgery. Based on the concern about the care for and safety of patients in this process, this study sought to assess the quality of surgical procedures in a hospital environment. It is an epidemiological, descriptive and retrospective research conducted at Santa Terezinha University Hospital [Hospital Universitário Santa Terezinha], in the municipality of Joaçaba, Santa Catarina (SC). The investigation aimed to identify the reasons for surgical cancellation, as well as immediate postoperative complications that occur in the postanesthesia care unit. A total of 456 records from surgery cancellation daily maps and 361 medical records of patients in postoperative care were analyzed. Results show that the main cause for cancellation of surgeries was transfer or unscheduled procedure (23.1%), but 27% of the unscheduled surgeries did not have the reason for cancellation reported. Adult (over 80%) and female individuals were the majority for both cancelled surgeries and postoperative complications. The most frequent postoperative complication was hypotension. Among performed surgeries, thoracic ones (41.8%) were most prevalent, while abdominal/pelvic (49%) surgeries were the most cancelled. It is concluded that a big portion of the cancelled surgical procedures could have been prevented, since only 6.8% of them were related to clinical conditions.
Highlights
The hospital environment is characterized as a hostile, stressing and very dynamic one
One can regard the perioperative period as the stage at which a humanized care (Perioperative Nursing Care Systematization PNCS) is of utmost importance to qualify the assistance provided to clients and their family members (Oliveira & Mendonça, 2014), as well as to promote a safe process during this period (Ribeiro, Peniche, & Silva, 2017b) when patients find themselves exposed to various forms of risks and complications
The present study aimed to identify surgery cancellation reasons in a university hospital in the midwestern region of Santa Catarina, Brazil, as well as the occurrence of immediate postoperative complications
Summary
The hospital environment is characterized as a hostile, stressing and very dynamic one. Of international scope, sets forth guidelines aimed to ensure the individual's wellbeing, lowering, to an acceptable level, the risk of unnecessary damages associated with health care (WHO, 2004; Rede Brasileira de Enfermagem e Segurança do Paciente [REBRAENSP], 2013) When it comes to the perioperative period, a good preoperative preparation and the definition of the intraoperative conduct are performed on the basis of promoting a quality and effective preoperative evaluation. This way, it is possible to learn about the patient's clinical conditions and facilitate the planning of pre, intra and postoperative care that suits each case (Bisinotto, Pedrini Júnior, Alves, & Andrade, 2007). A "cascade effect" takes place, bringing about a quick recovery, as well as decreasing procedure-derived complications, length of stay and hospital expenses
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