Open AccessInadequate completion of surgical data for patient safety: opinion of health professionals
Author(s) -
Anny Caroline Santos Almeida,
Lucas Almeida Andrade,
Hertaline Menezes do Nascimento Rocha,
Andreia Freire de Menezes,
Ingrede Tatiane Serafim Santana,
Anny Giselly Milhome da Costa Farre,
José Yuri Silva Santos
Publication year - 2021
Publication title -
rev rene
Language(s) - English
Resource type - Journals
eISSN - 2175-6783
pISSN - 1517-3852
DOI - 10.15253/2175-6783.20212270735
Subject(s) - checklist , medicine , staffing , health professionals , patient safety , medical record , medical emergency , family medicine , nursing , surgery , health care , psychology , economics , cognitive psychology , economic growth
Objective: to investigate variables related to inadequate completion of surgical data for patient safety in the hospital setting in the opinion of health professionals. Methods: retrospective study in 180 medical records of surgical patients in a public hospital and application of a structured questionnaire to caregivers responsible for filling out the surgical data of patients. Descriptive statistical analysis was performed. Results: the medical records showed incomplete surgical records in the preoperative period (61%), intraoperative period (66%) and immediate postoperative period (87%). Professionals reported not knowing the protocol for safe surgery (62%) and the institution's surgical safety form (68%), 87% were not trained to use the intraoperative checklist, 66% considered the number of staff inadequate and 55% considered communication ineffective. Conclusion: in the opinion of health professionals, insufficient professional knowledge, lack of training, inadequate staffing and ineffective communication may be related to inadequate completion of surgical data and patient safety.