The Meaning of Intraoperative Errors: Perioperative Nurse Perspectives

Chard, Robin; Tovin, Melissa M.

doi:10.1002/aorn.12032

Cited by 6 publications

(4 citation statements)

References 47 publications

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“…The “on the job” training method was stressful for nurses and did not guarantee efficient surgeries. Furthermore, new models of healthcare education recommend interprofessional education, team‐based learning and skill development to achieve high levels of clinical competency and best patient outcomes (Chard & Tovin, ; Nowak, Klimke‐Jung, Schäfer, & Reif, ; Wallin et al, ). The findings of this study also support the impact that technology may have on traditional roles.…”

Section: Discussionmentioning

confidence: 99%

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Schuessler

Stiles

Mancuso

2019

Journal of Clinical Nursing

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Aims and objectives To explore the perceptions and experiences of perioperative nurses and Certified Registered Nurse Anaesthetists (CRNAs) in robotic‐assisted laparoscopic surgery (RALS). The objective was to identify the factors that affect nursing care of patients who undergo robotic‐assisted laparoscopic surgery (RALS). Background The rapid introduction of technological innovations into the healthcare system has created new challenges for perioperative nurses. RALS affects the physical and interpersonal context of the surgical team's work and subsequent patient outcomes. Despite significant changes to the workflow for perioperative nurses and CRNAs, there is little research focusing on the nurses’ experience and their challenges with RALS. Design A qualitative descriptive study. Method Semi‐structured interview questions guided data collection. A total of seventeen participants including six preoperative and postoperative nurses, seven intraoperative nurses, and four CRNAs in the United States were interviewed. The interviews were conducted between 26 April–24 June 2018. Data were analysed using thematic analysis, and the COREQ checklist was used to report data collection, analysis and the results. Results Three major themes and two categories within each theme were identified: (a) surgical innovation: nurse perception and workflow; (b) interprofessional practice: teamwork and standards; and (c) outcome: patient outcomes and system outcomes. Conclusions The findings indicate that RALS has the potential to improve patient outcomes when performed in a timely fashion by skilled surgeons, and efficient, well‐trained surgical teams. For patients to experience full benefits of RALS, patient characteristics, the underlying reason for surgery, and cost must be considered. Relevance to clinical practice The results of this study highlight the necessity of promoting factors that improve the surgical team training and practice for RALS and will ultimately impact patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Schuessler

Stiles

Mancuso

2019

Journal of Clinical Nursing

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“…A literatura relativamente aos erros cometidos no período perioperatório por enfermeiros é escassa, principalmente a que aborda as perspetivas e experiências pessoais dos profi ssionais (Chard & Tovin, 2018).…”

Section: Discussionunclassified

Impact of the Perioperative Nurse on Surgical Patient Safety

Reis¹,

Pereira

Cortez³

et al. 2023

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Background: The inadvertent retention of quantifiable items (RIIQ) continues to be an occurrence in surgical realities, which entails catastrophic consequences for the patient. IIRQ prevention translates into a collective effort where all members of the surgical team must take responsibility and adopt preventive strategies. Objective: To determine what promotes surgical count (SC) practices that ensure surgical patient safety. Methodology: The literature search was carried out in the CINAHL and Pubmed databases. It included all studies published in English or Portuguese from 2016 to 2020. Results: 6 articles were obtained. Most episodes of IIRQ occur in general surgery surgeries and where CC has been performed. The achievement of the reported CC is 77.4% and 86.5%. There is a statistically significant correlation between instrumentalist nurses and CC. Factors such as emergent, long-term surgeries, inexperienced nurses, complacency in surgical counts, different surgical teams for the same procedure, and communication failures contribute to IIRQ. There is a relationship between body mass index (BMI) and the occurrence of IIIQ. Discussion: IIIQ is a sentinel event that has a direct negative impact on patient safety and health. The risk of IIIQ is not unique to abdominal surgery, and minimally invasive surgery is not risk-free. IIRQ occurs due to several factors, although CC alone does not prevent IIRQ, it is necessary to keep in mind that it is a surgical error and, like all errors, it is preventable. Conclusion: The correct practice of CC by perioperative nurses should be a priority in all surgical interventions. This practice contributes to the prevention of IIRQ, increasing the safety of the surgical patient.

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“…First, the operational standards of procedures should be studied; however, implementing standards without using proper checklists is not a secure practice. [ 7 8 9 10 ] The Association of intraoperative Registered Nurses (AORN) has recommended using the Intraoperative Nursing Data Set (PNDS). [ 11 ] According to the PNDS, when, for example, the skin is prepped for surgery, the following documentation information is required: type of skin prep, type of solution, site on the body, and name of the person who has done the prepping.…”

Section: Introductionmentioning

confidence: 99%

Development and implementation of an intraoperative documentation protocol for enhancing patient safety in the operating room: A mixed methods protocol study

Akbari,

Bahrami,

Aarabi

2023

Journal of Education and Health Promotion

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BACKGROUND: Documentation is an important part of the patient care process; however, there is no regular program for documenting intraoperative care in Iran. This study was conducted to design an intraoperative documentation for enhancing patient safety in the operating room (OR). MATERIALS AND METHODS: This exploratory, mixed-methods, qualitative-quantitative study (in 2021) consists of four phases. The first phase involves a conventional content analysis of healthcare providers in the OR to identify the needs, strategies, and content of a pertinent documentation. In this phase, purposeful sampling will be used to collect data through semi-structured interviews. In the second phase, a literature review will be carried out to extract the documentation procedures in the intraoperative period in many other countries. In the third phase, a panel of experts is recruited and the classic Delphi (RAND) technique is run to validate the initial draft of the designed program and, the protocol is then finalized. In the last phase, the designed protocol will be implemented through a quasi-experimental study in one group (before and after intervention), and the effectiveness of the intervention will be evaluated. DISCUSSION: To design a protocol for intraoperative documentation, healthcare providers’ experiences during surgery in the Iranian healthcare setting, where the lack of documentation might forensically harm both the healthcare providers and the patients, will be explored. This information alongside some universal standards developed in other countries should help improve patients’ safety in ORs.

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The Meaning of Intraoperative Errors: Perioperative Nurse Perspectives

Cited by 6 publications

References 47 publications

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Perceptions and experiences of perioperative nurses and nurse anaesthetists in robotic‐assisted surgery

Impact of the Perioperative Nurse on Surgical Patient Safety

Development and implementation of an intraoperative documentation protocol for enhancing patient safety in the operating room: A mixed methods protocol study

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