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Analysis of the registration and content of surgical safety checklists

Objective:

To analyze and relate the registration of information and content of checklists with the objectives of the Safe Surgery Saves Lives Program.

Methods:

Documentary study with 257 checklists from orthopedic surgeries performed between 2011 and 2012 in a Brazilian hospital. The 12,629 items related to surgical safety were entered into an Excel spreadsheet and were analyzed using the Statistical Package for the Social Sciences.

Results:

99.8% of the checklist items were checked and the content of the records showed, through documental checks, no guarantee of safety elements relative to the correct surgical site (objective 1), blood loss (objective 4), allergic reaction (objective 5) retention of instruments/compresses (objective 7), identification of surgical specimens (objective 8) and communication (objective 9).

Conclusion:

The high adherence to completing the checklists allowed potential surgical risks arising from unconfirmed safety actions to be identified, requiring actions seeking to qualify the care.

Checklist; Patient Safety; Surgical Procedures, Operative


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