Human factors approach to surgical safety checklist implementation

Yıl 2019, Cilt: 6 Sayı: 3, 211 - 217, 06.09.2019

Ozlem Soyer , Meryem Yavuz Van Giersbergen

Öz

Introduction and Purpose: The goal of using a surgical safety checklist is to monitor critical safety processes in patient care and minimize the risks that can be avoided. In order to avoid preventable errors, it is important to systematically evaluate the effective facilitator and barrier factors in the implementation of the surgical safety checklist.. The aim of this study was to determine the facilitatorand barrier factors of applying the surgical safety checklist according to the SEIPS 2.0 model.

Material and Method: A qualitative research method was used in the study. The sample of the study consisted of 32 nurses working in surgical ward and operating room. The three focus group interview was used. A grounded theory approach was used to collect and analyze semi-structured interview data. Interview results were evaluated according to SEIPS 2.0 model.

Results and Conclusion: The facilitating themes were determined to be positive patient perception, legal liabilities and prevention of mistakes. The barrier themes were determined to be the resistance of the team members, the scarcity of nurses and time, the intensity of patients, the work load and team conflict.

All of nurses explained that surgical safety checklist was important on patient safety. All team members to fulfill their responsibilities in the implementation of the surgical safety  checklist is important.

Anahtar Kelimeler

Surgical Safety Checklist, Nursing, Focus Group

Güvenli cerrahi kontrol listesi uygulamasına insan faktörleri yaklaşımı

Öz

Giriş ve Amaç: Güvenli cerrahi kontrol listesi kullanımındaki amaç, hasta bakımında kritik güvenlik süreçlerini takip etmek ve önlenebilecek riskleri en aza indirmektir. Önlenebilir hatalardan kaçınmak için güvenli cerrahi kontrol listesinin uygulanmasında etkili kolaylaştırıcı ve engelleyici faktörlerin sistematik bir yaklaşımla değerlendirilmesi önemlidir. Bu çalışmanın amacı, hasta güvenliğinde kullanılan SEIPS 2.0 modeline göre güvenli cerrahi kontrol listesinin uygulanmasında kolaylaştırıcı ve bariyer faktörlerinin belirlenmesidir.

Gereç ve Yöntem: Bu araştırmada,  nitel araştırma yöntemi kullanıldı. Çalışmanın örneklemini cerrahi kliniklerde ve ameliyathanede çalışan 32 hemşire oluşturdu. Üç odak grup görüşmesi yapıldı. Yarı yapılandırılmış görüşme verilerini toplamak ve analiz etmek için temellendirilmiş kuram yaklaşımı kullanıldı. Görüşme sonuçları SEIPS 2.0 modeline göre değerlendirildi.

Bulgular ve Sonuç: Kolaylaştırıcı faktör temaları, olumlu hasta algısı, yasal yükümlülükler ve hataların önlenmesi olarak belirlendi. Engelleyen faktör temaları ise, ekip üyelerinin direnci, hemşire sayısının ve zamanın sınırlılığı, hastaların yoğunluğu, iş yükü ve ekip çatışması olarak belirlendi.

Tüm hemşireler güvenli cerrahi kontrol listesinin hasta güvenliği açısından önemli olduğunu belirtti. Tüm ekip üyelerinin güvenli cerrahi kontrol listesinin uygulanmasında sorumluluklarını yerine getirmeleri önemlidir.

Anahtar Kelimeler

Cerrahi Güvenlik Kontrol Listesi, Hemşirelik, Odak Grup

Kaynakça

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