Compliance with the surgical safety checklist in a hospital in Santander. A cross-sectional study

Authors

DOI:

https://doi.org/10.15649/cuidarte.2122

Keywords:

Compliance, Quality of Health Care, checklist, Incidents, Surgery, Patient Safety

Abstract

 

Introduction: Patient safety constitutes a priority in health care, being the surgical safety checklist one of the strategies implemented by the WHO. The objective was to determine the level of compliance in the application of the surgical safety checklist in surgical room personnel of a public institution. Materials and Methods: Cross-sectional study in 45 members of the surgical team in a hospital, in which compliance to the WHO checklist was evaluated during July and August 2018. Results: Overall compliance was 13.3% (n=6), with the pre-anesthesia phase reaching the highest level (55.6%, n=25). The highest compliance was recorded by the surgical instrumentation staff (100%, n=8), while the lowest by the nursing staff (25%, n=3), with statistically significant differences (p=0.005). Additionally, a correlation was observed between years of work in the service and compliance in the transfer phase (rho= -0.30, p=0.048). Discussion: Overall compliance was low, which corroborates the stated hypothesis and is similar to other studies described in the literature. Conclusions: The overall compliance to the checklist was very low, with differential behaviors as the surgical instrument technicians showed the highest compliance and the nursing staff the lowest. The antibiotic prophylaxis item was the least compliant, while the pre-anesthesia phase was the most compliant.

How to cite this article: Sepúlveda Plata Martha Cecilia. López Romero Luis Alberto.  González Sandra Beatriz. Cumplimiento de la lista de verificación de seguridad de la cirugía en un hospital de Santander. Un estudio de corte trasversal. Revista Cuidarte. 2021;12(3):e2122. http://dx.doi.org/10.15649/cuidarte.2122    

Author Biographies

Martha Cecilia Sepúlveda Plata, Hospital Regional Manuela Beltrán

Hospital Regional Manuela Beltrán. Fundación Universitaria de San Gil.  Grupo de investigación en ciencias de la educación y de la salud, San Gil (Santander Colombia).

Luis Alberto Lopez Romero, Fundación Cardiovascular de Colombia

Fundación Cardiovascular de Colombia. Grupo de Investigación y Desarrollo de Conocimiento en Enfermería FCV (GIDCEN-FCV). Centro de investigaciones, Floridablanca (Santander, Colombia).

Sandra Beatriz González, Instituto Mexicano del Seguro Social

Instituto Mexicano del Seguro Social, División de Programas de Enfermería (Ciudad de México, México). Catedrática de posgrado en Educación a Distancia UNIVERSIDAD CUAUHTÉMOC. Plantel Aguascalientes, México.

References

Organización Mundial de la Salud (OMS).10 datos sobre seguridad del paciente. WHO. 2015 [cited 2021 Feb 23]. https://www.who.int/features/factfiles/patient_safety/es/

World Health Organization (WHO). World Alliance for Patient Safety. Guideline Safe Surgery. Vol. 5, World Health Organization (WHO). 2008. 21 p.

Organización Mundial de la Salud (WHO). Manual de aplicación de la lista OMS de Verificación de la Seguridad de la Cirugía 2009. La cirugia segura salva vidas. 2009;1–20. http://whqlibdoc.who.int/publications/2009/9789243598598_spa.pdf?ua=1

De Sanidad M, Consumo Y. Estudio Nacional sobre los Efectos Adversos ligados a la Hospitalización. ENEAS. 2005. 2006.

Jesús María Aranaz Andrés CAR. Prevalencia De Efectos Adversos En Hospitales De Latinoamérica Estudio Ibeas : Prevalencia De Efectos Adversos. Plan Calid para el Sist Nac Salud. 2007;1–164.

Estrada Gonzalez C, González Restrepo LD. Sucesos adversos relacionados con el acto quirúrgico en una institución de salud de tercer nivel TT - Adverse events related to the surgical act in a third level of health care’s institution. Rev Cuba Salud Pública. 2018;44(3):1–14. http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0864-34662018000300007&lang=pt%0Ahttp://www.scielosp.org/pdf/rcsp/v44n3/1561-3127-rcsp-44-03-e998.pdf

Batista J, Cruz ED de A, Alpendre FT, da Rocha DJM, Brandão MB, Maziero ECS. Prevalence and avoidability of surgical adverse events in a teaching hospital in Brazil. Rev Lat Am Enfermagem. 2019;27. https://doi.org/10.1590/1518-8345.2939.3171

White MC, Peven K, Clancy O, Okonkwo I, Bakolis I, Russ S, et al. Implementation Strategies and the Uptake of the World Health Organization Surgical Safety Checklist in Low and Middle Income Countries. A Systematic Review and Meta-analysis. Ann Surg. 2021;273(6):e196–205. https://doi.org/10.1097/SLA.0000000000003944

Ministerio de salud y Protecciòn Social. Resolucion Numero 8430 De 1993. Minist salud. 2012;32(4):471–3.

WMA - The World Medical Association-Declaración de Helsinki de la AMM –. Declaración de Helsinki de la AMM – Principios éticos para las investigaciones médicas en seres humanos – WMA – The World Medical Association. Asociación Medica Mundial. 2015 [cited 2021 Feb 23]. p. 5. https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/

Soria-Aledo V, Da Silva ZA, Saturno PJ, Grau-Polan M, Carrillo-Alcaraz A. Difficulties in implementing a surgical check list in operating theatres. Cir Esp. 2012;90(3):180–5. https://doi.org/10.1016/j.ciresp.2011.09.007

Freitas MR de, Antunes AG, Lopes BNA, Fernandes F da C, Monte L de C, Gama ZA da S. Assessment of adherence to the WHO surgical safety checklist in urological and gynecological surgeries at two teaching hospitals in Natal, Rio Grande do Norte State, Brazil. Cad Saude Publica. 2014;30(1):137–48. https://doi.org/10.1590/0102-311X00184612

Pires MP de O, Pedreira MLG, Peterlini MAS. Surgical Safety in Pediatrics: practical application of the Pediatric Surgical Safety Checklist. Rev Lat Am Enfermagem. 2015 Jan 6;23(6):1105–12. https://doi.org/10.1590/0104-1169.0553.2655

Dackiewicz N, Viteritti L, Marciano B, Bailez M, Merino P, Bortolato D, et al. Lista de verificación de seguridad de la cirugía: logros y dificultades de su implementación en un hospital pediátrico. Arch argent pediatr. 2012 Jan 6;110(6):503–8. https://doi.org/10.5546/aap.2012.503

Fourcade A, Blache J-L, Grenier C, Bourgain J-L, Minvielle E. Barriers to staff adoption of a surgical safety checklist. BMJ Qual Saf. 2012;21(3):191–7. A https://doi.org/10.1136/bmjqs-2011-000094

García MDR, González AN, Bates MLP, Villarreal GC. Nivel de cumplimiento y factores que influyen en la aplicación de la lista de verificación de cirugía segura.

Oak SN, Dave NM, Garasia MB, Parelkar S V. Surgical checklist application and its impact on patient safety in pediatric surgery. J Postgrad Med. 2015;61(2):92–4. https://doi.org/10.4103/0022-3859.150450

Rodríguez HV. Descripción de la aplicación de la lista de verificación quirúrgica en el servicio de cirugía del Hospital Privado de Córdoba Argentina. durante el periodo de agosto 2014-diciembre 2015. 2016 Jan 6;65. Available from: http://lildbi.fcm.unc.edu.ar/lildbi/tesis/rodriguez_heidi_veronica.pdf

Kasatpibal N, Senaratana W, Chitreecheur J, Chotirosniramit N, Pakvipas P, Junthasopeepun P. Implementation of the World Health Organization surgical safety checklist at a university hospital in Thailand. Surg Infect (Larchmt). 2012;13(1):50–6. https://doi.org/10.1089/sur.2011.043

Secanell M, Orrego C, Vila M, Vallverdú H, Mora N, Oller A, et al. A surgical safety checklist implementation: experience of a start-up phase of a collaborative project in hospitals of Catalonia, Spain. Med Clin (Barc). 2014;143 Suppl:17–24. https://doi.org/10.1016/j.medcli.2014.07.007

Ramírez CM, Prada WA, Guayán IC, Patiño M. Utilización de listas de chequeo en cirugías programadas, Bogotá, 2016. Rev Colomb Cirugía. 2017 Jan 6;32(2):109–14. https://doi.org/10.30944/20117582.14

Asefzadeh S, Rafiei S, Saeidi M, Karimi M. Compliance with WHO safe surgery checklist in operating rooms: A case study in Iran Hospitals. Bali Med J. 2017;6:465. https://doi.org/10.15562/bmj.v6i3.577

Arribalzaga E, Lupica L, Delor S, Ferraina P. Implementación del listado de verificación de cirugía segura. Rev Argent Cir. 2012;102:8–12. https://www.researchgate.net/publication/262615347_Implementacion_del_listado_de_verificacion_de_cirugia_segura

Pancieri AP, Santos BP, de Avila MAG, Braga EM. [Safe surgery checklist: analysis of the safety and communication of teams from a teaching hospital]. Rev Gauch Enferm [Internet]. 2013;34(1):71–8. Available from: http://files/1503/Pancieri et al. - 2013 - [Safe surgery checklist analysis of the safety an.pdf

Yuan CT, Walsh D, Tomarken JL, Alpern R, Shakpeh J, Bradley EH. Incorporating the World Health Organization Surgical Safety Checklist into practice at two hospitals in Liberia. Jt Comm J Qual Patient Saf. 2012;38(6):254–60. https://doi.org/10.1016/S1553-7250(12)38032-X

Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limited evidence of effectiveness. BMC Health Serv Res. 2011;11:211. https://doi.org/10.1186/1472-6963-11-211

Sewell M, Adebibe M, Jayakumar P, Jowett C, Kong K, Vemulapalli K, et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop 2011;35(6):897–901. https://doi.org/10.1007/s00264-010-1112-7

Collazos C, Bermudez L, Quintero A, Quintero LE, Díaz MM. Verificación de la lista de chequeo para seguridad en cirugía desde la perspectiva del paciente. Rev Colomb Anestesiol. 2013 Jan 6;41(2):109–13. https://doi.org/10.1016/j.rca.2013.01.001

Published

2021-10-06

How to Cite

1.
Sepúlveda Plata MC, Lopez Romero LA, González SB. Compliance with the surgical safety checklist in a hospital in Santander. A cross-sectional study. Revista Cuidarte [Internet]. 2021 Oct. 6 [cited 2024 Dec. 19];12(3). Available from: https://revistas.udes.edu.co/cuidarte/article/view/2122

Issue

Section

Investigation Article

Categories

Altmetrics

Downloads

Download data is not yet available.

Most read articles by the same author(s)