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Journal of Negative and No Positive Results
versão On-line ISSN 2529-850X
Resumo
RAMOS, Ariel P et al. Nursing preoperative checklist for safe surgery. JONNPR [online]. 2020, vol.5, n.8, pp.792-805. Epub 12-Jul-2021. ISSN 2529-850X. https://dx.doi.org/10.19230/jonnpr.3386.
Background.
The safety of patient care is a priority aspect in the organization and functioning of all health systems with direct implications on the quality of care. The assessment of nursing in the internment rooms allows to detect difficulties or problems in the preoperative that can endanger the life of the patient or the expected outcome of the intervention. This is where protocols must be generated to ensure safety for patients, minimizing errors.
Objective.
To implement the pre-operative nursing checklist to reduce errors in the admission of patients to operating room.
Setting.
University Hospital. Surgical Division - Department of Surgery - Nursing management.
Population.
internal patients for scheduled surgeries.
Method.
Observational, exploratory, longitudinal prospective with retrospective analysis. Checklist preoperative nursing implementation.
Results.
In May 2018, 355 patients were operated in the central operating rooms. 183 errors were found on 158 surgeries scheduled in a first stage. The most frequent failure was the admission of patients with underwear or bedding 59 (32.2%), followed by lack of cap or cap 22 (12%), and admission of patients with dental prosthesis 21 (11.5%). In the second stage, the nursing check list form was implemented but which could reduce the number of errors in the preoperative period to 48%.
Conclusion.
Specific actions should be promoted so that surgical teams systematically reach essential safety measures that jeopardize the life and well-being surgical patients.
Palavras-chave : safe surgery; preoperative checklist; nursing.