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Alla redo för time-out och sign-out?: Operationsteamets följsamhet till time-out och sign-out i WHO:s checklista för säker kirurgi
University of Skövde, School of Health Sciences.
University of Skövde, School of Health Sciences.
2020 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Everyone ready for a time-out and sign-out? : Surgical team´s compliance to time-out and sign-out in the WHO Surgical safety checklist (English)
Abstract [sv]

Bakgrund: 2008 infördes WHO:s checklista för säker kirurgi för att minska antal dödsfall, förbättra patientsäkerheten och reducera risken för vårdskador i samband med kirurgi genom att ha ett kommunikationsverktyg som säkrar att kontroller och insatser blir utförda. Tidigare studier visar varierande följsamhet till checklistan och att olika delmoment inte utförs i sin helhet. Syfte: Att undersöka operationsteamets följsamhet till time-out och sign-out i WHO:s checklista för säker kirurgi. Metod: En kvantitativ tvärsnittsstudie utförd som en icke-deltagande observationsstudie. Data samlades in via 24 observationer vid två sjukhus med hjälp av ett strukturerat observationsprotokoll. Data analyserades med hjälp av SPSS och redovisas genom deskriptiv statistik i form av cirkel- och stapeldiagram, tabeller samt löpande text. Resultat: Time-out initierades i 95,8 % av observationerna och utfördes komplett i 4,2 %. Sign-out initierades i 100 % av observationerna och 29,2 % utfördes komplett. Ingen i operationsteamet intog rollen som checklisteansvarig. Vid 19 av 22 observationer signerades samtliga tre delmoment i Orbit innan sign-out var genomförd. Slutsats: Både time-out och sign-out genomförs i hög grad, dock varierar följsamheten till checklistans samtliga kontrollpunkter vid de två delmomenten. Studien påvisar att diskrepans finns mellan den faktiska användningen av checklistan och den administrativa inrapporterade användningen av checklistan.

Abstract [en]

Background: In 2008, the WHO Surgical safety checklist was introduced to reduce mortality, improve patient safety and reduce risk of medical injuries in connection to surgery by means of a communication tool ensuring that checks and interventions are performed. Previous studies show a variation in compliance to the checklist, and that different items not are entirely performed. Aim: To describe the surgical team’s compliance to time-out and sign-out in the WHO Surgical safety checklist. Method: A quantitative cross-sectional study conducted as a non-participatory observational study. Data was collected during 24 observations at two hospitals using a structured observational protocol. Data was analysed using SPSS and reported through descriptive statistics, using pie and bar charts as well as tables and discussion. Result: Time-out was initiated in 95,8 % of the observations and completed in 4,2%. Sign-out was initiated in 100 % of the observations and 29,2 % were completed. No member of the surgical team was responsible for performing the safety checks. In 19 of 22 observations, all three parts of the checklist were signed in Orbit before the sign-out was completed. Conclusion: Both time-out and sign-out are carried out to a great extent, however, compliance with all items of the checklist varies. The study shows a discrepancy between the actual use of the checklist and the administratively reported use of the checklist.

Place, publisher, year, edition, pages
2020. , p. 54
Keywords [en]
Communication, patient safety, suffering, teamwork, WHO Surgical safety checklist
Keywords [sv]
Kommunikation, lidande, patientsäkerhet, samverkan i team, WHO:s checklista
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-19443OAI: oai:DiVA.org:his-19443DiVA, id: diva2:1523963
Subject / course
Nursing/Nursing Science
Educational program
Specialistsjuksköterskeprogram - Operationssjuksköterska 60 hp
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Examiners
Available from: 2021-01-29 Created: 2021-01-29 Last updated: 2021-01-29Bibliographically approved

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