Abstract
: to identify surgeons' knowledge and compliance rate to the Safe Surgery Protocol, as well as to assess the incidence of surgery-related adverse events, including patients' knowledge about the protocol. this is a cross-sectional and prospective study. An instrument was developed to collect the socio-graphic characteristics of sixty-eight surgeons and residents, their knowledge and adherence to the safe surgery protocol. Eighty-two patients were assessed regarding their awareness about the surgical procedure. The operating environment was also evaluated. Descriptive statistics and the odds ratio are presented. the surgeons, despite their previous contact with the protocol throughout the graduation period, were poorly compliant with it. Adverse events such as the use of uncalibrated equipments or the presence of foreign bodies in several equipments such as drills and cautery pens were identified. In addition, some of the adverse events were identified and fixed, after patients had already been anesthesized, but before the beginning of the surgical procedure. Patients demonstrated knowledge about the operation they would undergo, but they did not know about its duration, and they were not introduced to the surgical team. there were failures in the dynamics and compliance regarding some phases of the protocol, which may impact the laterality errors and patient safety.
Highlights
Patient safety has been a concern for thousands of years
When analyzing the surgeons’ average training time versus their knowledge about the Safe Surgery Protocol, we identified an odds ratio (OR) of 8.23 and a confidence interval (CI) of 2.37 to 28.6, favoring the younger professionals
We observed an indirect association between time since physicians’ graduation and knowledge about the safety protocol, which demonstrates the recent implementation of this concept in the regional medical courses
Summary
Patient safety has been a concern for thousands of years. Hippocrates (460 to 370 BC), was one of the first to highlight this aspect and the maxim primum non nocere, which means “first, do no harm” has been attributed to him. The current context is marked by pressures related to the high cost of health care, which is associated with technological incorporation, increase in the workload of health professionals, and the aging of the population who present with multiple chronic diseases. Such situation has led health organizations to assess the quality of health care with an emphasis on actions aiming continuous improvement and accountability[2]. Some initiatives must be implemented to reduce the risk of surgical related adverse events, highlighting the importance of the correct identification of patients and the surgical site, efficient sterilization of the used material; safe administration of anesthesia; and surgical performance under rigorous techniques[5]
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