Surgical teams’ attitudes and opinions towards the safety of surgical procedures in public hospitals in the Brazilian Federal District

Santana, Heiko Thereza; Rodrigues, Maria Cristina Soares; Evangelista, Maria do Socorro Nantua

doi:10.1186/s13104-016-2078-3

Cited by 18 publications

(33 citation statements)

References 32 publications

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“…In the Brazilian context, some initiatives to measure and evaluate safety culture in institutions have been registered 8 - 11 , revealing weaknesses in different aspects. There still prevails the perception that failures in patient safety point to individual responsibilities and, consequently, punitive actions for the professional.…”

Section: Introductionmentioning

confidence: 99%

Patient safety culture in a university hospital

Galvão

Lopes

Oliva

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:to assess patient safety culture in a university hospital. Method:cross-sectional study with data collection through the Hospital Survey on Patient Safety Culture applied in electronic device. A total of 381 employees were interviewed, corresponding to 46% of the sum of eligible professionals. Data were analyzed descriptively. the Cronbach’s alpha was used to calculate the frequency and reliability. Results:most were women (73%) from the nursing area (50%) and with direct contact with patients (82%). The composites related to “teamwork within units” (58%, α=0.68), “organizational learning - continuous improvement” (58%, α=0.63), “supervisor/manager expectations and actions promoting patient safety” (56%, α=0.73) had higher positive responses. Nine composites had low positive responses, with emphasis on “nonpunitive response to error” (18%, α=0.40). Only the item “in this unit, people treat each other with respect” had positive response above 70%. The patient safety assessment in the work unit was positive for 36% of employees, however only 22% reported events in past year. Conclusion:the findings revealed weaknesses in the safety culture at the hospital, with emphasis on culpability.

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Section: Introductionmentioning

confidence: 99%

Patient safety culture in a university hospital

Galvão

Lopes

Oliva

et al. 2018

Rev. Latino-Am. Enfermagem

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“…This is consistent with previous reports that have demonstrated that the use of checklists enhanced communications across professional lines. [ 11 12 13 14 15 ] Russ et al . in a systematic review of safety checklists came to a conclusion that they are beneficial for operating room teamwork and communication and may be a way through which patient outcomes can be improved.…”

Section: Discussionmentioning

confidence: 99%

Use of the World Health Organization Surgical Safety Checklist by Nigerian anesthetists

2018

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Background:Surgery and anesthesia are essential parts of global healthcare. Surgical intervention has been largely beneficial but remains associated with significant morbidity and mortality. The increasing complexity of surgical interventions has made providers more prone to avoidable errors. The World Health Organization Surgical Safety Checklist (WHO SSC) was disseminated worldwide with the aim of reducing perioperative morbidity and mortality.Objective:There is a paucity of data to assess awareness and use of WHO SSC in low- and middle-income countries. The aim of this study is to evaluate the knowledge and use of WHO SSC by Nigerian anesthetists.Methodology:A structured self-reporting questionnaire was distributed to Nigerian physician anesthetists. One hundred and twenty-two questionnaires were distributed with 102 completed reflecting a response rate of 83.6%.Results:Awareness of the WHO SSC was reported by 93.1% of the respondents. Routine use of the checklist was reported by 62.7% of the respondents mostly in the teaching hospitals compared with the general hospitals and comprehensive health centers (86.2%, 23.3% and 14.3%, P = 0.0001). The respondents who had a perception that WHO SSC does not prevent errors were the least likely to use it (odds ratio: 0.08, P = 0.0117).Conclusion:This study identified a high level of awareness and use of the WHO SSC by physician anesthetists in Nigeria. However, its use is mostly use of The WHO SSC list by Nigerian anesthetists in teaching hospitals.

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“…No Brasil, apesar de iniciativas para a implementação da LVSC nos hospitais, constata-se escassez de publicações sobre a problemática (MOTA FILHO et al, 2013;PANCIERI et al, 2013;FREITAS et al, 2014;DIEGO et al, 2016;SANTANA;RODRIGUES;EVANGELISTA, 2016), principalmente sobre o processo de implementação dessa ferramenta nos serviços de saúde .…”

Section: Lista De Quadrosunclassified

“…As pesquisas conduzidas no contexto nacional tiveram enfoques diferentes, tais como: taxa de adesão ao uso da LVSC e impacto na morbimortalidade dos pacientes ; adesão da equipe ao uso da lista (FREITAS et al, 2014); opinião e atitudes da equipe sobre a lista (PANCIERI et al, 2013;SANTANA;RODRIGUES;EVANGELISTA, 2016;DIEGO et al, 2016); e conhecimento de cirurgiões sobre a ferramenta (MOTA FILHO et al, 2013).…”

Section: Lista De Quadrosunclassified

“…No contexto mundial e nacional em países com distintas condições socioeconômicas, as publicações sobre a LVSC têm em comum a adoção de estratégias educativas como recurso para implementar a ferramenta nos serviços de saúde (AVANSINO et al, 2011;LEVY et al, 2012;NUGENT et al, 2013;TREADWELL;LUCAS;TSOU, 2014;RUSS et al, 2015b;SANTANA et al, 2016) ou otimizar seu uso diário com vistas à melhoria de adesão e desempenho correto na checagem (O'CONNOR et al, 2013;PUTNAM et al, 2014;LILAONITKUL et al, 2015). No entanto, dada a diversidade de estratégias educativas utilizadas em relação à categoria profissional participante, conteúdo, tempo dedicado a essa atividade, resultados obtidos (AVANSINO et al, 2011;SEWELL et al, 2011;LEVY et al, 2012;NUGENT et al, 2013;TREADWELL;LUCAS;TSOU, 2014) ou ausência de processo educacional (O'CONNOR et al, 2013), esse facilitador pode se tornar barreira.…”

Section: Discussão Do Estudo Descritivounclassified

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Lista de verificação de segurança cirúrgica: evidências para a implementação em serviços de saúde

Tostes¹

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Aos docentes, Profa. Dra. Patrícia Scotini Freitas e Profa. Dra. Rosana Aparecida Spadoti Dantas, pelas contribuições oferecidas durante o Exame de Qualificação.Às instituições hospitalares, aos docentes e enfermeiros perioperatórios participantes, que possibilitaram a condução deste estudo.Por fim, a todos que, de forma direta ou indireta, ajudaram-me na realização desta pesquisa. Palavras-chave: Enfermagem perioperatória. Lista de verificação de segurança cirúgica. Organização Mundial da Saúde. Segurança do paciente. ABSTRACT TOSTES, M.F.P. Surgical safety checklist: evidence for implementation in health services. 2017. 231 f. Thesis (Doctorate) -School of Nursing of Ribeirão Preto, University of São Paulo, Ribeirão Preto, 2017.Surgical patient safety is a complex and challenging problem at the global level. This study aimed to analyze (a) the available evidence in the literature on the process of implementation of the surgical safety checklist of the World Health Organization in the practice of health services, and (b) the implementation process and the daily use of the surgical safety checklist, according to the report of nurses working in surgical center units of hospitals of two cities located in the state of Paraná. The research was conducted in two phases: integrative review and descriptive study. The search for primary studies was carried out in PubMed, CINAHL and LILACS databases. The sample of the integrative review consisted of 27 studies grouped into three categories, namely: implementation process: strategies for the introduction of the surgical safety checklist in the health services (n = 15); implementation process: strategies to optimize the use of the surgical safety checklist in health services (n = 9) and facilitators and barriers to the implementation of the surgical safety checklist (n = 3). Conducting the integrative review made it possible to understand the process of implementing the list, the different strategies used for its implementation, aspects of implementation considered successful or not very successful in achieving the expected results, facilitators and barriers of this process. The descriptive study was carried out in 25 hospitals of two cities that make up the mesoregion of Northern Central of Paraná state (Londrina and Maringá). Participants were 91 nurses who worked in the surgical center of the selected hospitals. For the data collection, two instruments were elaborated, which were submitted to the apparent validation and content. The results showed that, in most of the hospitals investigated, the surgical safety checklist was implemented, and, for most of the participants, the strategies adopted in the introduction of the list were the previous planning conducted by the nurses, the adaptation with predominance of the use in the printed format and educational program. Regarding the daily use of the list, most of the nurses pointed out the inadequate use of this practice in the following aspects: surgical team's partial adherence to the use of it, difference in adherence bet...

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Surgical teams’ attitudes and opinions towards the safety of surgical procedures in public hospitals in the Brazilian Federal District

Cited by 18 publications

References 32 publications

Patient safety culture in a university hospital

Patient safety culture in a university hospital

Use of the World Health Organization Surgical Safety Checklist by Nigerian anesthetists

Lista de verificação de segurança cirúrgica: evidências para a implementação em serviços de saúde

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