Práticas de segurança do paciente implementadas em centro cirúrgico de Hospital Universitário

Abstract

The surgical center is the hospital unit intended for surgical procedures and anesthetic recovery, and which, due to the complexity of its activities and risks, is considered one of the sectors with the highest occurrence of adverse events. Thus, following the recommendations of the World Health Organization, in 2013, the National Patient Safety Program was established, which stipulated actions aimed at preventing and reducing these events, such as the use of the safe surgery checklist. This study aims to evaluate patient safety practices implemented in a surgical center of a university hospital. This is a descriptive, cross-sectional, documentary and retrospective study carried out in a surgical center of a university hospital. Data collection took place between September 2022 and May 2023, using a semi-structured instrument produced by Google Forms, containing variables presented in the safe surgery checklist. Data were entered into Excel® and analyzed using the Statistical Package for Social Sciences (SPSS) software. The final sample consisted of 1,831 medical records, where it was evident that most surgeries occurred in women (52.6%), with a mean age of 56 years (SD ± 16), performing general surgery procedures (15%). It was found that there was a predominance in the registration of checklist items in the three surgical moments. However, there was low adherence by health professionals in completing the form, more evidently in the topic that addresses the presence of non-conformities, ranging from 76.8% to 88.2%. In the first and second stages, the unfilled items correspond to confirmation of unconscious or intubated patients (76.8%), documented pre-anesthetic evaluation (60.5%), reserve of blood components (33.9%) and ICU vacancy (35.1%) and availability of difficult intubation material (48.2%). On the other hand, checking the professionals in the operating room was adequate (99.7%), showing the existence of a satisfactory intercommunication. It was concluded, then, that the institution of security practices is adequate. However, there are still challenges regarding its adherence by professionals, mainly related to the presence of non- conformities.