Patient Safety in the Surgery: An Investigation of the Near-miss Cases Encountered by the Surgical Team While Applying the Surgical Safety Checklist
Objective:The study was conducted as a descriptive study in order to investigate the near-miss events that surgical team members encountered during the use of the Surgical Safety Checklist (SSC).Methods:The research was carried out between June 25, 2018 and September 7, 2018 in the surgical services...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2023-01-01
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| Series: | Bezmiâlem Science |
| Subjects: | |
| Online Access: |
http://bezmialemscience.org/archives/archive-detail/article-preview/patient-safety-in-the-surgery-an-nvestigation-of-t/58422
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| _version_ | 1797909151384338432 |
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| author | Sultan BOZKURT Hilal TÜZER |
| author_facet | Sultan BOZKURT Hilal TÜZER |
| author_sort | Sultan BOZKURT |
| collection | DOAJ |
| description | Objective:The study was conducted as a descriptive study in order to investigate the near-miss events that surgical team members encountered during the use of the Surgical Safety Checklist (SSC).Methods:The research was carried out between June 25, 2018 and September 7, 2018 in the surgical services and operating theaters of three public hospitals in Ankara. The sample of the study (n=387) was consisted of surgical team members working in the surgical services (n=94) andin the operating room (n=293) (anesthesiologist, nurse, surgeon, surgical technician, anesthesia technician). Data were obtained with the individual data sheet and SSC application form. Chi-square test and Mann-Whitney U test were used for statistical analysis (p<0.05).Results:As a result of the research, it was determined that 27.1% of the surgical team members working in surgical service and operating rooms did not receive training on the SSC. It was found that 72.9% of surgical team members received training on SSC and 37.0% said that there were near-miss cases and medical errors that were prevented with the use of SSC. Although 90.2% of the participants knew the near-miss definition and 37.0% encountered them, the rate of those reporting the event was determined as 7.8%. The near-miss cases most commonly encountered by the participants in the study were found to be absence of side marking in 26.0%, not removing jewelry in 23.0%, and being full of the patient (eating before surgery) in 18.0%. In addition, carelessness in 26.2%, crowd in 10.1%, and lack of information in 14.8% were reported as the causes of medical errors.Conclusion:As a result of the study, it was determined that surgical team members, especially nurses with high rates of use faced with near-miss cases during the use of SSC. Early detection of these errors will prevent the occurrence of preventable medical errors. Increasing training and making positive feedback to surgical team members will increase the use of SSC form and event notifications. |
| first_indexed | 2024-04-10T11:03:53Z |
| format | Article |
| id | doaj.art-fa8d9c0017254a8f94b3bc9e4fc0ad63 |
| institution | Directory Open Access Journal |
| issn | 2148-2373 |
| language | English |
| last_indexed | 2024-04-10T11:03:53Z |
| publishDate | 2023-01-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Bezmiâlem Science |
| spelling | doaj.art-fa8d9c0017254a8f94b3bc9e4fc0ad632023-02-15T16:19:33ZengGalenos Publishing HouseBezmiâlem Science2148-23732023-01-0111112012710.14235/bas.galenos.2022.1463213049054Patient Safety in the Surgery: An Investigation of the Near-miss Cases Encountered by the Surgical Team While Applying the Surgical Safety ChecklistSultan BOZKURT0Hilal TÜZER1 Ankara Yıldırım Beyazıt University Institute of Health Sciences, Department of Nursing, Ankara, Turkey Ankara Yıldırım Beyazıt University Institute of Health Sciences, Department of Nursing, Ankara, Turkey Objective:The study was conducted as a descriptive study in order to investigate the near-miss events that surgical team members encountered during the use of the Surgical Safety Checklist (SSC).Methods:The research was carried out between June 25, 2018 and September 7, 2018 in the surgical services and operating theaters of three public hospitals in Ankara. The sample of the study (n=387) was consisted of surgical team members working in the surgical services (n=94) andin the operating room (n=293) (anesthesiologist, nurse, surgeon, surgical technician, anesthesia technician). Data were obtained with the individual data sheet and SSC application form. Chi-square test and Mann-Whitney U test were used for statistical analysis (p<0.05).Results:As a result of the research, it was determined that 27.1% of the surgical team members working in surgical service and operating rooms did not receive training on the SSC. It was found that 72.9% of surgical team members received training on SSC and 37.0% said that there were near-miss cases and medical errors that were prevented with the use of SSC. Although 90.2% of the participants knew the near-miss definition and 37.0% encountered them, the rate of those reporting the event was determined as 7.8%. The near-miss cases most commonly encountered by the participants in the study were found to be absence of side marking in 26.0%, not removing jewelry in 23.0%, and being full of the patient (eating before surgery) in 18.0%. In addition, carelessness in 26.2%, crowd in 10.1%, and lack of information in 14.8% were reported as the causes of medical errors.Conclusion:As a result of the study, it was determined that surgical team members, especially nurses with high rates of use faced with near-miss cases during the use of SSC. Early detection of these errors will prevent the occurrence of preventable medical errors. Increasing training and making positive feedback to surgical team members will increase the use of SSC form and event notifications. http://bezmialemscience.org/archives/archive-detail/article-preview/patient-safety-in-the-surgery-an-nvestigation-of-t/58422 surgerysscpatient safetynear-miss case |
| spellingShingle | Sultan BOZKURT Hilal TÜZER Patient Safety in the Surgery: An Investigation of the Near-miss Cases Encountered by the Surgical Team While Applying the Surgical Safety Checklist Bezmiâlem Science surgery ssc patient safety near-miss case |
| title | Patient Safety in the Surgery: An Investigation of the Near-miss Cases Encountered by the Surgical Team While Applying the Surgical Safety Checklist |
| title_full | Patient Safety in the Surgery: An Investigation of the Near-miss Cases Encountered by the Surgical Team While Applying the Surgical Safety Checklist |
| title_fullStr | Patient Safety in the Surgery: An Investigation of the Near-miss Cases Encountered by the Surgical Team While Applying the Surgical Safety Checklist |
| title_full_unstemmed | Patient Safety in the Surgery: An Investigation of the Near-miss Cases Encountered by the Surgical Team While Applying the Surgical Safety Checklist |
| title_short | Patient Safety in the Surgery: An Investigation of the Near-miss Cases Encountered by the Surgical Team While Applying the Surgical Safety Checklist |
| title_sort | patient safety in the surgery an investigation of the near miss cases encountered by the surgical team while applying the surgical safety checklist |
| topic | surgery ssc patient safety near-miss case |
| url |
http://bezmialemscience.org/archives/archive-detail/article-preview/patient-safety-in-the-surgery-an-nvestigation-of-t/58422
|
| work_keys_str_mv | AT sultanbozkurt patientsafetyinthesurgeryaninvestigationofthenearmisscasesencounteredbythesurgicalteamwhileapplyingthesurgicalsafetychecklist AT hilaltuzer patientsafetyinthesurgeryaninvestigationofthenearmisscasesencounteredbythesurgicalteamwhileapplyingthesurgicalsafetychecklist |