| Summary: | Background: Patient Safety is also one dimension of quality that is currently being
the center of attention of health care practitioners in the national and global scale.
World Health Organization (WHO) estimated that there were at least half a million
deaths due to surgery that could have been prevented. Safe Surgery Saves Lives
program introduced and studied surgical safety checklist as an attempt to patient
safety and to reduce the number of deaths worldwide. The main purpose of the
surgical safety checklist is to reduce the unexpected incidence in the operating room.
Objective: To know how far is the implementation of surgical patient safety in
digestive surgery and to find the relationship between the implementation of surgical
patient safety that affect the digestive surgery postoperative adverse events in the
central surgical installation of general hospital DR. Sardjito Yogyakarta.
Method: This study was a prospective observational study with longitudinal study
designs. The subject of this study was all patients who underwent digestive surgery
in the period of December 2010 at the central surgical installation of general hospital
DR. Sardjito Yogyakarta. Observations were carried out using a checklist instrument
of surgical patient safety implementation and assessment of adverse events for 30
days postoperatively. The collected data were analyzed with univariate and bivariate
approaches.
Result: Stages Sign in: Installation of pulse oximetry function well and performed in
all patients, the diagnosis of writing difficulties breathing was performed in all
patients and infusion 2 pathway in patients who have a risk of bleeding as much as
83.3%. Stages Time Out: Operators who do re-confirm the identity of the patient
before surgery by 68.2%, giving prophylactic antibiotic injection is less than 60
minutes before skin incision of 77.3%. Stages Sign out: the implementation of the
calculation of the instrument by 50%, netting calculation of 29.5% and 29.5% for the
calculation of the needle.
Postoperative incidence of Adverse Events: The ILO found in 9.1%, coma> 24 hours
of 2.3%, use of ventilator> 48 hours was found at 4.5%, of patients operated on
without re-planned by 2.3%, bleeding requiring transfusion > 4 units of blood within
72 hours of 4.5% and mortality of 4.5%. Bivariate Analysis Results: There was a
significant relationship (p = 0.016) between patients who have a risk of blood loss
with the death, there is a significant relationship (p = 0.016) between patients who
have a risk of blood loss with bleeding.
Conclusion: Surgical Patient Safety Implementation had not yet being consistently
implemented and the implementation of the Surgical Patient Safety was related with
the occurrence of postoperative Adverse Events in digestive surgery in the DR.
Sardjito Hospital installation.
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