Implementation of a surgical safety checklist in Brazil: cross-sectional study.

Authors :: Poveda VB
Lemos CS
Lopes SG
Pereira MCO
Carvalho R
Source :: Revista brasileira de enfermagem [Rev Bras Enferm] 2021 May 03; Vol. 74 (2), pp. e20190874. Date of Electronic Publication: 2021 May 03 (Print Publication: 2021).
Publication Year :: 2021
Abstract: Objective: to identify the implementation process of the World Health Organization Surgical Safety Checklist in Brazilian hospitals.<br />Methods: this is a cross-sectional study with 531 participants during a Congress of Perioperative Nursing, promoted by the Brazilian Association of Operating Room Nurses, Anesthetic Recovery and Material and Sterilization Center, in 2017.<br />Results: among the nursing professionals included, 84.27% reported the checklist implementation in the workplace. Regarding daily application in the Sign-in stage, 79.65% of professionals confirmed patient identification with two indicators; in the Time-out stage, 51.36% of surgeries started regardless of confirmation of one of the items. In the Sign-out stage, 69.34% of professionals did not count or occasionally counted the surgical instruments and suture needles, and only 36.36% reviewed concerns about postoperative recovery.<br />Conclusion: this study identified needs for improvements in applying the checklist in the Brazilian reality, to guarantee safer surgical procedures.