Cancelamento de cirurgias como indicador de avaliação das dimensões da qualidade de um centro cirúrgico

• Autor(a) principal: Froes, Elaine Ferreira
• Data de Publicação: 2018
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da UFG
• dARK ID: ark:/38995/001300000bhds
• Texto Completo: http://repositorio.bc.ufg.br/tede/handle/tede/9256
• topic: Cirurgia; Cancelamento de caso; Enfermagem perioperatória; Surgery; Case cancellation; Periperative nursing; CIENCIAS DA SAUDE::ENFERMAGEM

Objective: to investigate the profile of cancellation of surgeries in a public teaching hospital. Method: retrospective, descriptive, quantitative study performed at the Surgical Center unit of a public teaching hospital, located in the city of Goiânia-GO, Brazil. This surgical center consists of 11 operating rooms and 01 anesthetic recovery room with 7 beds. In the institution, approximately 4,400 surgeries per year are performed: bucomaxillofacial, cardiac, general, plastic, coloproctology, gynecology, mastology, neuro, otorhinolaryngology, orthopedics, thoracic, urology and vascular. Surgery cancellation data were collected between May and July 2017, related to the year 2016, using as a research source the surgical warnings, hospital data computerization system and nursing reports. The data were computed in spreadsheets and divided into two factors: structural, like the incomplete surgical team and process, such as the change in medical conduct. The information collected was analyzed descriptively and through the chi-square test in STATA® (14.0). Results: in 2016, 4,423 surgeries were performed, 2,885 (74.95%) were elective and 1,538 (87.74%) were emergency / emergency. Of these, 1,179 (21.05%) were canceled. The specialties that presented the highest frequency of cancellation were orthopedics / traumatology (30.79%), otorhinolaryngology (16.11%) and general surgery (15.35%). Among the reasons for cancellation, 67.35% were related to the processes; 20.19%, due to lack of hospitalization; 12.46% patient without clinical conditions. Other reasons were related to the structure, 32.65%, standing out 7.46%, technical problems in the material center and sterilization. Conclusion: Most of the surgeries were canceled due to patient-related reasons, related to the process and not to the hospital unit, therefore considered avoidable. These data are of great relevance in the aid of an institutional planning, since, to minimize cancellations, implies to guarantee a higher quality in the health and safety services of the patient, as well as the rational use of human and financial resources.