Användning av WHO:s checklista för säkerhet vid operationer och operationssjuksköterskans medverkan.

• Main Authors: Valdna, Eneli, Olsson, Stina
• Format: Others
• Language: Swedish
• Published: Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap 2015
• Subjects: WHO checklist; communication; teamwork; theatre nurse; patient safety; nursing; WHO:s checklista; kommunikation; teamarbete; operationssjuksköterska; patientsäkerhet; omvårdnad
• Online Access: http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-254759

Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety. Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist. Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden. Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower. Team member introductions, patient ID, planned surgery and antibiotic prophylaxis had highest compliance. Theatre nurse responsibilities in Timeout, particularly sterility and positioning of the patient had low compliance. During Sign In the majority of theatre nurses greeted the patient in the operating room and everyone performed skin control. One theatre nurse asked the patient about allergies/intolerance. The theatre nurses participated rarely in Sign Out. Conclusions: The study showed that there are large differences in compliance between items of the checklist. Theatre nurses can increase their participation by being more involved in the surgical team communication and thus clearly demonstrate her responsibilities in the perioperative nursing. Revisited routines and continuous monitoring may be needed for increased checklist compliance