SciELO - Scientific Electronic Library Online

 
vol.20 issue2Prevalence of nursing diagnosis of decreased cardiac output and the predictive value of defining characteristics in patients under evaluation for heart transplantNursing care time in the Intensive Care Unit: evaluation of the parameters proposed in COFEN Resolution Nº 293/04 author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Revista Latino-Americana de Enfermagem

Print version ISSN 0104-1169

Abstract

PENALVER-MOMPEAN, Maria Dolores; SATURNO-HERNANDEZ, Pedro Jesus; FONSECA-MIRANDA, Yadira  and  GAMA, Zenewton André da Silva. Assessment of protocols for surgical-site preparation in a regional network of hospitals. Rev. Latino-Am. Enfermagem [online]. 2012, vol.20, n.2, pp. 316-324. ISSN 0104-1169.  http://dx.doi.org/10.1590/S0104-11692012000200014.

Surgical-site infection is a preventable adverse event. Implementation of good practices for correct surgical-site preparation can contribute to lessen this safety problem. The objective of this study was to describe the presence and quality of protocols on surgical-site preparation in the Murcia (Spain) regional network of public hospitals. The indicator "existence of protocol for surgical-site preparation" was assessed, as well as the formal quality (expected attributes) and contents (compared to current evidence-based recommendations) of existing documents. Seven of the nine hospitals have a protocol for surgical-site preparation. Opportunities to improve have been identified in relation to the protocols' formal quality and contents. Recommendations related to skin asepsis are incomplete and those related to hair removal contradict existing evidence. Most hospitals have protocols for surgical-site preparation; however, there is great room for improvement, in relation to their expected attributes and to the inclusion of evidence-based recommendations.

Keywords : Quality Assurance, Health Care; Guidelines as Topic; Evidence-based Practice; Infection Control; Hospitals, Public; Safety Management; Nursing Assessment.

        · abstract in Portuguese | Spanish     · text in English | Spanish | Portuguese     · pdf in English | Spanish | Portuguese