Authors

Zulema de Cos-Díez1, Marta Puente-Ruiz1, Yolanda Martín-Martín1, Mª Teresa González-Izquierdo1, Lara Martínez-Gimeno2, Rafael García-Carretero3

Position

1Enfermera. Hospital Santos Reyes. Aranda de Duero (Burgos)2Enfermera. Hospital Universitario de Móstoles. Madrid3Médico Especialista en Medicina Interna. Hospital Universitario de Móstoles. Madrid

Contact address

Zulema de Cos Díez. Hospital Santos Reyes. Avda. Ruperta Baraya, s/n. 09400 Aranda de Duero (Burgos).

Contact email: zcos@saludcastillayleon.es

Abstract

Objective: to describe the level of compliance with the Surgical Safety Checklist (SSCL) at the Operating Room in a regional hospital.
Method: a descriptive cross-sectional study conducted at the Hospital Santos Reyes of Aranda de Duero (Burgos) between May, 2015 and May, 2016. Simple random sampling was conducted on 750 individuals undergoing scheduled surgery, in order to review the SSCLs included in their clinical records. Descriptive analysis was conducted with absolute frequencies and percentages of the list items, classified by time point during the surgical procedure (before anesthetic induction, before skin incision, and before leaving the operating room), and by professional responsible for completion (nurse, anesthetist and surgeon).
Results: in total, 604 Surgical Safety Checklists were studied. Higher SSCL compliance was observed a the time point before anesthetic induction and skin incision, than before leaving the operating room, and always in those items completed by nurses. Completion of items by nurses reached about 88%; in the case of anesthetists, it was 49%, and 46.9% in those items assigned to surgeons. It was necessary to correct Informed Consents in 4.3% of interventions.
Conclusions: there are differences in SSCL compliance according to the surgical time and the professional in charge. Training for the staff involved, as well as involvement by institution leaders, could play a role in order to achieve a higher adherence in terms of compliance.

Keywords:

Checklist; patient safety; Operating Rooms; Descriptive Study; descriptive study

Versión en Español

Título:

Implantación del listado de verificación de seguridad quirúrgica en un hospital comarcal