Implementação do checklist de cirurgia segura em um hospital universitário

• Autor(a) principal: Adriana Cristina de Oliveira
• Data de Publicação: 2017
• Outros Autores: Arthur Rocha de Abreu, Stayse Soares de Alemeida
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UFMG
• Texto Completo: https://doi.org/10.21675/2357-707X.2017.v8.n4.972; http://hdl.handle.net/1843/56139; https://orcid.org/0000-0002-4821-6068; https://orcid.org/0000-0003-3494-7473; https://orcid.org/0000-0002-7269-9223
• topic: Cirurgia; Lista de verificação; Segurança do paciente; Cirurgia geral; Lista de checagem; Segurança do paciente

Objective: verify the implementation of safe surgery checklist in a multidisciplinary team through process of quality audit in a university hospital. Methods: Transversal and descriptive study, carried out between May and July 2015, in the surgical center of a public and university hospital. The surgeries were randomly monitored, and the dynamics of checklist filling by a multidisciplinary team was observed, comparing checklist filling performed in operating room with the one filled out by the study team. The data were analyzed by distribution, relative frequency and percentage. Results: Regarding checklist compliance, in 57% of accompanied surgeries patients identification was not performed, 100% of the staff did not introduced themselves in “time out” and not even confirmed orally the procedure in “sign out”. Conclusion: The checklist proposal of arousing staff for simple surgical procedure steps, but without which the potential for adverse events (AEs) is much larger, has not been achieved in clinical practice. Another important aspect is related to improvement of communication between multidisciplinary team which has not been contemplated in process.