Implementation of a surgical safety checklist in Brazil: cross-sectional study - Revista Brasileira de Enfermagem

ORIGINAL ARTICLE

Implementation of a surgical safety checklist in Brazil: cross-sectional study

Revista Brasileira de Enfermagem. 05-03-2021;74(2):e20190874

DOI: 10.1590/0034-7167-2019-0874

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ABSTRACT

Objective:

to identify the implementation process of the World Health Organization Surgical Safety Checklist in Brazilian hospitals.

Methods:

this is a cross-sectional study with 531 participants during a Congress of Perioperative Nursing, promoted by the Brazilian Association of Operating Room Nurses, Anesthetic Recovery and Material and Sterilization Center, in 2017.

Results:

among the nursing professionals included, 84.27% reported the checklist implementation in the workplace. Regarding daily application in the Sign-in stage, 79.65% of professionals confirmed patient identification with two indicators; in the Time-out stage, 51.36% of surgeries started regardless of confirmation of one of the items. In the Sign-out stage, 69.34% of professionals did not count or occasionally counted the surgical instruments and suture needles, and only 36.36% reviewed concerns about postoperative recovery.

Conclusion:

this study identified needs for improvements in applying the checklist in the Brazilian reality, to guarantee safer surgical procedures.

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