Experiences in the implementation of the Safe Surgery Verification Checklist at the National Hospital Arzobispo Loayza, 2014-2016

Authors

  • Ana Gonzales Espinoza Patient Safety, National Hospital Arzobispo Loayza
  • Mónica Meneses La Riva Universidad César Vallejo.

Keywords:

Safe surgery, Verification checklist SSVC

Abstract

The objective was determining the experiences in the implementation of the Safe Surgery Verification Checklist (SSVC) in the National Hospital Arzobispo Loayza in period 2014-2016. The Methodology was descriptive, retrospective study of a documentary review of 2,466 clinical histories with the SSVC application sheet. It was used two instruments that evaluated the compliance of the SSVC through a control matrix to check 20 items in the three phases of execution with correct filling and omission, also a survey was applied to the personnel (Surgery, Anesthesia and Nursing). Its work in Surgical Center where the factors that limit the application of the SSVC were identified, previously assuming the respective ethical considerations. Results were compliance with the SSVC reached 93% and the most frequent noncompliance in the Entry phase referred to the risk assessment of bleeding > 500 mL (36%). In the Pause phase the item verifies the antibiotic prophylaxis administered in the last 60 minutes (39%) of the total of omissions. In the exit phase the item review the critical aspects of recovery and treatment in immediate PO (42%). The factors that limit the application of the SSVC were: Lack of staff motivation (34%), ignorance, lack of training and problems in the distribution of personnel / tasks (10% respectively). In conclusions a high level of compliance is evidenced, however, the quality of the registry shows a poor involvement of interdisciplinary responsibility, weakening the safe environment for the surgical patient.

Downloads

Download data is not yet available.

References

. WHO (World Health Organization), Guidelines for Safe Surgery, Safe Surgery Saves Lives. 2009, Available in: http://apps.who.int/iris/bitstream/10665/44185/1/9789241598552_eng.pdf

. World Health Organization, World Alliance for Patient Safety. Marco conceptual de la clasificación internacional para la seguridad del paciente. Informe técnico definitivo. [Monografía en Internet]. Geneva: World Health Organization, 2009. Available in: http://www.who.int/patientsafety/implementation/taxonomy/es/index.html

. Estudio IBEAS Prevalencia de efectos adversos en hospitales de Latinoamérica, 2010, Available in: http://www.msc.es/organizacion/sns/planCalidadSNS/docs/INFORME_IBEAS.pdf

. Estrategia Nacional de Seguridad del Paciente del período 2005-2011, Available in:

https://www.seguridaddelpaciente.es/resources/documentos/2015/Estrategia%20Seguridad%20del%20Paciente%202015-2020.pdf?cdnv=2

. Perez R, Perception of the surgical team about the utility and application of the checklist of safe cardiovascular surgery in the Service of Surgical Center at the Cardiovascular National Institute of EsSalud, 2014. Available in: http://pesquisa.bvsalud.org/portal/resource/pt/biblio-871223.

. DL N° 1153. Normas Legales. El Peruano, 2013, Available in:

http://busquedas.elperuano.pe/normaslegales/decreto-legislativo-que-regula-la-politica-integral-de-compe-decreto-legislativo-n-1153-987016-1/

. MINSA, Guia Técnica de implementación de la lista de verificación de la seguridad de la cirugía. 2011. Available in:

ftp://ftp2.minsa.gob.pe/descargas/calidad/normas/documentos/doc_verificacion_seguridad.pdf

Downloads

Published

06-04-2018

How to Cite

Gonzales Espinoza, A. ., & Meneses La Riva, M. (2018). Experiences in the implementation of the Safe Surgery Verification Checklist at the National Hospital Arzobispo Loayza, 2014-2016. Journal of Global Health and Medicine, 2(1), 9–12. Retrieved from https://journals.cincader.org/index.php/ghmj/article/view/77