The Status of Use of Surgical Safety Check List and Opinions of Nurses

Yıl 2016, Cilt: 18 Sayı: 1, 53 - 62, 01.08.2016

Aysel Abbasoğlu Ziyafet Uğurlu Sevcan Avcı-ışık Azize Karahan Hayriye Ünlü Nalan Özhan-elbaş

Öz

Objective: To determine “the status of use of surgical safety check list SSCL and opinions of nurses”. Surgical safety check list that is developed by World Health Organization helps the surgical team to decrease the number of patient safety related adverse incidents. Methods: The study was performed at a private university hospital between August-September 2013 and included all intensive care units, clinics, and operating rooms where adult patients who underwent surgical procedure received care. The design of the first part of the research was retrospective and 383 patient files were examined for SSCL. The second part was cross sectional and descriptive and 105 69% nurses participated in the study. Results: Patient files were examined and it was found that 20.1% of the nurses completely filled all of the corresponding parts in the SSCL; while the ratios were 2.3% and 42.0% in surgical doctors and anesthetists, respectively. Most of the nurses 92.4% used SSCL, and according to 78.1% of the nurses, SSCL was effective in the prevention of medical errors. Conclusions: Although nurses used the surgical safety check list effectively, it was determined that there were problems in the application of surgical safety check list; hence, development of programs to increase the effective use of surgical safety check list was suggested

Anahtar Kelimeler

Nursing, surgery, patient safety, surgical safety check list

Güvenli Cerrahi Kontrol Listesinin Kullanılma Durumu ve Hemşirelerin Görüşleri

Öz

Amaç: Güvenli cerrahi kontrol listesinin kullanılma durumunun ve hemşirelerin güvenli cerrahi kontrol listesine yönelik görüşlerinin belirlenmesidir. Dünya Sağlık Örgütü tarafından geliştirilen güvenli cerrahi kontrol listesi, hasta güvenliği ile ilgili olumsuz olayların sayısını azaltmak için cerrahi ekibe yardımcı olur. Yöntem: Bu çalışma, Ağustos-Eylül 2013 tarihinde Ankara’da bir özel üniversite hastanesinde cerrahi girişim geçiren erişkin hastaların yattığı tüm yoğun bakımlar, klinikler ve ameliyathanede yapılmıştır. Çalışmanın birinci bölümü retrospektif olup, 383 hasta dosyası güvenli cerrahi kontrol listesi bakımından incelenmiştir. İkinci bölümü kesitsel ve tanımlayıcı olup, 105 %69 hemşire çalışmaya katılmıştır. Bulgular: Hasta dosyaları incelenmiş, güvenli cerrahi kontrol listesinin hemşirelere ait bölümünün tamamının işaretlenme oranının %20,1; cerrahlara ve anestezi doktorlarına ait bölümlerin ise %2,3-%42,0 olduğu belirlenmiştir. Hemşirelerin çoğu %92,4 güvenli cerrahi kontrol listesi kullanmış ve %78,1’i güvenli cerrahi kontrol listesinin tıbbi hataların önlenmesinde etkili olduğunu belirtmiştir. Sonuç: Hemşirelerin güvenli cerrahi kontrol listesini etkin bir şekilde kullandıklarını belirtmesine rağmen güvenli cerrahi kontrol listesinin uygulamasında problemler olduğu belirlenmiş ve güvenli cerrahi kontrol listesinin etkin kullanımını artırmaya yönelik programlar geliştirilmesi önerilmiştir

Anahtar Kelimeler

Güvenli cerrahi kontrol listesi, hemşirelik, cerrahi, hasta güvenliği

Kaynakça

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