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Följsamhet till WHO:s checklista för säker kirurgi
University of Skövde, School of Health and Education.
University of Skövde, School of Health and Education.
2019 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Compliance with the WHO surgical safety checklist (English)
Abstract [sv]

Bakgrund: Flera tusen patienter drabbas årligen av vårdskador med lidande som följd. Checklistan för säker kirurgi har potential att minska detta om den används på rätt sätt. Checklistan bidrar till förbättrad kommunikation, samverkan i team och säkrare vård. Syfte: Att undersöka operationspersonalens följsamhet till WHO:s checklista för säker kirurgi. Metod: Kvantitativ deskriptiv tvärsnittsstudie. Datan samlades in på två sjukhus genom icke-deltagande strukturerade observationer med egenkonstruerade observationsprotokoll. Totalt inkluderades 38 observationer. Resultat: Sign in initierades i 39,5 % och utfördes komplett i 15,8 %. Time out initierades i 100 % och sign out i 94,7 %, men ingen utfördes komplett. I genomsnitt bekräftades 23,4 % av säkerhetskontrollerna i sign in, 40,5 % i time out och 56,6 % i sign out. Sign in och time out initierades oftast av anestesisjuksköterskan (86,7 % respektive 42,1 %) och sign out av kirurgen (88,9 %). Konklusion: Sign in utförs komplett i flest fall trots att delmomentet sällan initieras. Time out och sign out initieras alltid och nästintill alltid, men några säkerhetskontroller utelämnas alltid. Ytterligare forskning behövs för att undersöka om följsamheten till WHO:s checklista skiljer sig åt när patienten är ett barn eller när operationen sker på förmiddagen eller eftermiddagen.

Abstract [en]

Background: Every year thousands of patients are afflicted with adverse events and suffering. The surgical safety checklist has potential to decrease these negative effects if it’s used correctly. The checklist contributes to improve communication, teamwork and safer surgery. Aim: to examine the operating theatre personnel’s compliance with the WHO surgical safety checklist. Method: Quantitative descriptive cross-sectional study. The information was collected through non-participating observations with self-constructed observational protocols. A total of 38 observations were included. Result: Sign in was initiated in 39,5% and complete in 15,8%. Time out was initiated in 100% and sign out in 94,7% but none were properly completed. On average, 23,4% of the safety items were confirmed in sign in, 40,5% in time out and 56,6% in sign out. Sign in and time out were mainly initiated by the anaesthesia nurse (86,7% and 42,1%) and sign out by the surgeon (88,9%). Conclusion: Sign in is complete in most cases even though it's rarely initiated. Time out and sign out are always and almost always initiated, but some security checks are always omitted. Further research is needed to investigate whether compliance with the WHO checklist differs when the patient is a child or when surgery occurs in the morning or the afternoon.

Place, publisher, year, edition, pages
2019. , p. 32
Keywords [en]
operating theatre personnel, patient safety, perioperative care, suffering, teamwork
Keywords [sv]
lidande, operationspersonal, patientsäkerhet, perioperativ omvårdnad, teamsamverkan
National Category
Nursing
Identifiers
URN: urn:nbn:se:his:diva-17906OAI: oai:DiVA.org:his-17906DiVA, id: diva2:1372070
Subject / course
Nursing/Nursing Science
Educational program
Specialistsjuksköterskeprogram - Operationssjuksköterska 60 hp
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Available from: 2019-11-22 Created: 2019-11-21 Last updated: 2019-11-22Bibliographically approved

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2122232425262724 of 46
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