Abstract
assess patient responses and associated factors of items on a safe surgery checklist, and identify use before and after protocol implementation from the records. a cohort study conducted from 2014 to 2016 with 397 individuals in stage I and 257 in stage II, 12 months after implementation, totaling 654 patients. Data were obtained in structured interviews. In parallel, 450 checklist assessments were performed in medical records from public health institutions in the Southwest II Health Region of Goiás state, Brazil. six items from the checklist were evaluated and all of these exhibited differences (p < 0.000). Of the medical records analyzed, 69.9% contained the checklist in stage I and 96.5% in stage II, with better data completeness. In stage II, after training, the checklist was associated with surgery (OR; 1.38; IC95%: 1.25-1.51; p < 0.000), medium-sized hospital (OR; 1.11; CI95%; 1.0-1.17; p < 0.001), male gender (OR; 1.07; CI95%; 1.0-1.14; p < 0.010), type of surgery (OR; 1.7; CI95%: 1.07-1.14; p < 0.014) and antibiotic prophylaxis 30 to 60 min after incision (OR; 1.10; CI95%: 1.04-1.17; p < 0.000) and 30 to 60 min after surgery (OR; 1.23; CI95%: 1.04-1.45; p = 0.015). the implementation strategy of the safe surgery checklist in small and medium-sized healthcare institutions was relevant and associated with better responses based on patient, data availability and completeness of the data.
Highlights
Patient safety during surgery in a hospital setting is relevant and requires appropriate management from professionals to reduce the adverse events related to surgical complications[1,2]
World Health Organization (WHO) launched the Safe Surgery Saves Lives Program, a resource that can contribute to reducing harm and that reports using the safe surgery checklist, applied in several countries[3,4]
In Brazil in 2013, the Ministry of Health (MOH) established the Safe Surgery Protocol and recommended the use of the surgical safety checklist as a tool help improving the care of individuals undergoing surgical procedures in different hospital settings around the country[4]
Summary
Patient safety during surgery in a hospital setting is relevant and requires appropriate management from professionals to reduce the adverse events related to surgical complications[1,2]. The surgical treatment brings essential benefits to patients and, according to the World Health Organization (WHO), many procedures are performed in different scenarios, but they must follow principles of safety and quality In this perspective, WHO launched the Safe Surgery Saves Lives Program, a resource that can contribute to reducing harm and that reports using the safe surgery checklist, applied in several countries[3,4]. In Brazil in 2013, the Ministry of Health (MOH) established the Safe Surgery Protocol and recommended the use of the surgical safety checklist as a tool help improving the care of individuals undergoing surgical procedures in different hospital settings around the country[4] This checklist is a simple, easy to apply, and low-cost resource, used to identify, compare, facilitate the surgical team communication, and verify (check) a group of items and procedures during surgery to reduce failures in the process[3,4]. Studies show that this protocol is associated with better outcomes, with reduction in surgical complications and mortality[3,5 7]
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