Evaluation of patient safety during cardiac surgery at a public hospital.
DOI:
https://doi.org/10.5327/Z1414-4425201600030002Keywords:
Perioperative nursing. Checklist. Quality ManagementAbstract
Objective: Evaluation of security items in cardiac surgery at a public hospital. Methods: Cross-sectional descriptive study. Data collection
was performed in 2012 at a public state-owned hospital, where 30 cardiac surgeries were observed and evaluated through a script based on the 3 steps
of the World Health Organization (WHO) surgical safety checklist. Procedures were categorized as “in conformance” or “in non-conformance.”
Results: Non-conformance results made up 56% of cases before anesthetic induction, 57% prior to the procedure, and 75% of cases before leaving
the operating room. Conclusions: Though the WHO checklist is indispensable, professional training and continuing education remain crucial for
training a critical health care team that is aware of its role in securing patient safety.
References
Kohn LT, Corrigan JM, Donaldson MS, McKay T, Pike KC. To err is
human. Washington: National Academy Press, 2000.
World Health Organization. Safe surgery saves lives. The second global
patient safety challenge. Geneva: World Health Organization, 2009.
Boeckmann LMM, Rodrigues MCS. Segurança cirúrgica na cesárea:
revisão integrativa. Cogitare Enferm. 2015;20(4):758-76.
Bohomol E, Tartali JAA . Adverse effects in surgical patients: knowledge
of the nursing professional. Acta Paul Enferm. 2013;26(4):376-81
[acesso em 2016 jul. 21]. Disponível em: http://www.scielo.br/scielo.
php?script=sci_arttext&pid=S0103-21002013000400012&lng=en
Brasil. Ministério da Saúde. Portaria nº 529, de 1º de abril de 2013.
Institui o Programa Nacional de Segurança do Paciente (PNSP).
Brasília: Ministério da Saúde, 2013 [acesso em 2015 mar. 04].
Disponível em: http://bvsms.saude.gov.br/bvs/saudelegis/gm/2013/
prt0529_01_04_2013.html
Gomes W. Brasil é o segundo país do mundo em cirurgias cardíacas,
[acesso em 2015 jul. 25]. Disponível em: http://saudeweb.com.
br/30501/brasil-e-o-segundo-pais-do-mundo-em-cirurgias-cardiacas/
Bonotto JM, Boer LA . Estudo sobre o perfil do paciente submetido
à cirurgia de revascularização do miocárdio, em um hospital da
região sul catarinense, 2013 [acesso em 2015 jan. 27]. Disponível
em: http://www.uniedu.sed.sc.gov.br/wp-content/uploads/2013/10/
Janete-Morangoni-Bonotto.pdf
Brasil. Ministério da Saúde. LE GIS - Sistema de Legislação da saúde.
Dispõe sobre os direitos dos usuários dos serviços e das ações
de saúde no Estado e dá outras providências. Brasília: Ministério
da Saúde, 2009 [acesso em 2014 ago. 15]. Disponível em: http://
governo-sp.jusbrasil.com.br/legislacao/168477/lei-10241-99
The Joint Commission. Universal protocol, 2013 [acesso em 2016 jul.
. Disponível em: http://www.jointcommission.org/PatientSafety/
UniversalProtocol/
Bowdle TA. Drug administration errors from the ASA closed claims
project. ASA Newsletter. 2003;67(6):11-3.
Paranaguá TTB, Bezerra AL Q, Silva AE BC, Azevedo Filho
FM. Prevalence of no harm incidents and adverse events in
a surgical clinic. Acta Paul Enferm. 2013;26(3):256-62.
[acesso em 2016 jul. 27]. Disponível em: http://www.scielo.br/
scielo.php?script=sci_arttext&pid=S0103-21002013000300009
&lng=pt
Barreto RASS, Barbosa MA, Souza ACS. A segurança do paciente
na sala operatória: incidentes críticos relacionados à prevenção de
infecção de sítio cirúrgico, 2010 [acesso em 2015 fev. 02]. Disponível
em: http://www.sbpcnet.org.br/livro/63ra/conpeex/doutorado/
trabalhos-doutorado/doutorado-regiane-aparecida.pdf
Pancieri AP, Santos BP, Avila MAG, Braga EM. Checklist de cirurgia
segura: análise da segurança e comunicação das equipes de um
hospital escola. Rev Gaúcha Enferm. 2013;34(1):71-8.
Conselho Regional de Medicina de São Paulo. Corpos estranhos
intra-abdominais. Jornal do Cremesp, 2005 [acesso em 2016
jul. 20]. Disponível em: http://www.cremesp.org.br/?siteAcao=
Jornal&id=590
Filho GR, Silva LFN, Ferracini AM, Bahr GL. Protocolo de Cirurgia
Segura da OMS: o grau de conhecimento dos ortopedistas brasileiros.
Rev Bras Ortop. 2013;48(6):554-62.
Meeker MH, Rothrock JC. Alexander Cuidados de enfermagem ao
paciente cirúrgico. 10ª ed. Rio de Janeiro: Guanabara Koogan; 1997.
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