Comprobación del cumplimiento de la lista de verificación de cirugía segura y los eventos adversos provocados por su incumplimiento
Resumen
La seguridad del paciente es fundamental en la atención médica y la lista de verificación de seguridad quirúrgica, establecida por la Organización Mundial de la Salud, es una herramienta clave para garantizar procedimientos seguros; promueve la estandarización de prácticas críticas y una comunicación eficaz dentro del equipo quirúrgico. El objetivo fue evaluar el cumplimiento de la lista de verificación del protocolo de cirugía segura, por medio de la revisión bibliográfica. Este estudio fue de enfoque cualitativo, mediante revisión bibliográfica narrativa. Se realizó la búsqueda en las bases de datos: Cochrane, Google Académico y PubMed/Medline; la selección se basó en criterios de inclusión y exclusión de artículos relacionados con la pregunta de investigación publicados durante los últimos 5 años. Los 51 estudios revisados indican variaciones significativas en el cumplimiento de la lista de verificación de cirugía segura a nivel global, destacando barreras como la carga de trabajo elevada y la falta de formación adecuada. Se observó una relación directa entre la falta de cumplimiento y el aumento de eventos adversos en los entornos quirúrgicos. Se pudo concluir que la implementación efectiva de la lista de verificación de seguridad quirúrgica es esencial para minimizar los eventos adversos en cirugías. Es fundamental mejorar la formación del personal y la cultura organizacional para aumentar la adherencia a esta práctica.
Palabras clave
Referencias
Nwosu ADG, Onyekwulu FA, Aniwada EC. Patient safety awareness among 309 surgeons in Enugu, Nigeria: a cross-sectional survey. Patient Safety in Surgery [Internet].
2019;13(33). Disponible en: https://doi.org/10.1186/s13037-019-0216-2
Fayos-Jordán JL, García-García MA. Percepción de seguridad del paciente en salas quirúrgicas y quirófano respecto a otras salas en un hospital español de segundo nivel. Enfermería Global [Internet]. 2023;(70):321-35. Disponible en: https://dx.doi.org/10.6018/eglobal.537541
OMS. Seguridad del paciente [Internet]. Organización Mundial de la Salud. 2019.
Disponible en: https://www.who.int/es/news-room/facts-in-pictures/detail/patient-safety
Sepúlveda Plata MC, Lopez Romero LA, González SB. Cumplimiento de la lista de verificación de seguridad de la cirugía en un hospital de Santander. Un estudio de corte trasversal. Revista Cuidarte [Internet]. 2021;12(3):1-17. Disponible en: https://doi.org/10.15649/cuidarte.2122
Hussain AK, Kakakhel MM, Ashraf MF, Shahab M, Ahmad F, Luqman F, et al. Innovative
Approaches to Safe Surgery: A Narrative Synthesis of Best Practices. Cureus [Internet].
2023;15(11:e49723):1-10. Disponible en: https://doi.org/10.7759/cureus.49723
Tan J, Ngwayi JRM, Ding Z, Zhou Y, Li M, Chen Y, et al. Attitudes and compliance with the WHO surgical safety checklist: a survey among surgeons and operating room staff in
138 hospitals in China. Patient Safety in Surgery [Internet]. 2021;15(3):1-12. Disponible en: https://doi.org/10.1186/s13037-020-00276-0
Tartaglia A, Almeida Matos MA. Surgical safety checklist: fact or fake? Einstein [Internet].
2022;20(eCE0059):1-2. Disponible en:
https://doi.org/10.31744/einstein_journal/2022CE0059
Chellam Singh B, Arulappan J. Operating Room Nurses’ Understanding of Their Roles
and Responsibilities for Patient Care and Safety Measures in Intraoperative Practice.
SAGE Open Nursing [Internet]. 2023;9(23779608231186247):1-13. Disponible en:
https://doi.org/10.1177/23779608231186247
Sibhatu MK, Taye DB, Gebreegziabher SB, Mesfin E, Bashir HM, Varallo J. Compliance with the World Health Organization’s surgical safety checklist and related postoperative outcomes: a nationwide survey among 172 health facilities in Ethiopia. Patient Safety in Surgery [Internet]. 2022;16(20):1-7. Disponible en: https://doi.org/10.1186/s13037-022-
00329-6
Noaman SL, Soliman HM, Hasaneen AA. Evaluating Compliance to World Health Organization Surgical Safety Check List in Operating Room. Mansoura Nursing Journal [Internet]. 2020;7(2):115-24. Disponible en: https://mnj.journals.ekb.eg/article_179771_c6cdbee0967a4224628be9834cabcf21.pdf
Tully PA, Ng B, McGagh D, Meehan N, Khachane A, Higgs J, et al. Improving the WHO Surgical Safety Checklist sign-out. BJS Open [Internet]. 2021;5(3):1-7. Disponible en: https://doi.org/10.1093/bjsopen/zrab028
Suleiman ARM, Amarasinghe D, Kathuria P, Vandel J, Holloway J, Elkin K, et al.
Incorporating patient safety into early undergraduate medical education: teaching medical students to perform surgical time outs during anatomy. BMJ Open Quality [Internet].
2021;10(e001229):1-5. Disponible en: https://doi.org/10.1136/bmjoq-2020-001229
Avery K, Blazeby J, Wilson N, Macefield R, Cousins S, Main B, et al. Development of reporting guidance and core outcome sets for seamless, standardised evaluation of innovative surgical procedures and devices: a study protocol for content generation and a Delphi consensus process (COHESIVE study). BMJ Open [Internet].
2019;9(9:e029574):1-7. Disponible en: https://doi.org/10.1136/bmjopen-2019-029574
Alidina S, Kuchukhidze S, Menon G, Citron I, Lama TN, Meara J, et al. Effectiveness of a multicomponent safe surgery intervention on improving surgical quality in Tanzania’s Lake Zone: protocol for a quasi-experimental study. BMJ Open [Internet].
2019;9(10:e031800):1-9. Disponible en: https://doi.org/10.1136/bmjopen-2019-031800
Van Zyl M, Van Wyk NC, Leech R. The use of the World Health Organization Surgical Safety Checklist in operating theatres. Health SA Gesondheid [Internet]. 2023;1-9. Disponible en: https://doi.org/10.4102/hsag.v28i0.2246
Toru HK, Aman Z, Ali MH, Kundi W, Khan MA, Ali F, et al. Compliance With the World Health Organization Surgical Safety Checklist at a Tertiary Care Hospital: A Closed Loop Audit Study. Cureus [Internet]. 2023 [citado 12 de abril de 2024];15(5:e39808):1-6. Disponible en: https://doi.org/10.7759/cureus.39808
Lennon R, Smith A. Sign in, time out, sign out checklist-changing practice through interdepartmental teamwork to improve safety at caesarean section. Journal of
Perioperative Practice [Internet]. 2020;30(1-2):13-9. Disponible en:
https://doi.org/10.1177/1750458918818999
Gong J, Ma Y, An Y, Yuan Q, Li Y, Hu J. The surgical safety checklist: a quantitative study on attitudes and barriers among gynecological surgery teams. BMC Health Services Research [Internet]. 2021;21(1106):1-9. Disponible en: https://doi.org/10.1186/s12913-
021-07130-8
Christine B, Barbara BA, Zehetmayer S, Wolfgang U. Comparing compliance with the WHO surgical safety checklist and complication rates in gynecologic surgery between day and night shifts. Archives of Gynecology and Obstetrics [Internet]. 2022;306(4):1101-6. Disponible en: https://doi.org/10.1007/s00404-022-06599-w
Munthali J, Pittalis C, Bijlmakers L, Kachimba J, Cheelo M, Brugha R, et al. Barriers and enablers to utilisation of the WHO surgical safety checklist at the university teaching hospital in Lusaka, Zambia: a qualitative study. BMC Health Services Research [Internet].
2022;22(894):1-9. Disponible en: https://doi.org/10.1186/s12913-022-08257-y
Harris K, Søfteland E, Moi AL, Harthug S, Ravnøy M, Storesund A, et al. Development and validation of patients’ surgical safety checklist. BMC Health Services Research [Internet]. 2022;22(259):1-12. Disponible en: https://doi.org/10.1186/s12913-022-07470- z
Vilca Mejia OA, Cordeiro de Mendonça FC, Barrense Nogueira Sampaio LA, Barbosa Gomes Galas FR, Pontes MF, Caneo LF, et al. Adherence to the cardiac surgery checklist decreased mortality at a teaching hospital: A retrospective cohort study. Clinics (Sao Paulo, Brazil). 2022;77(100048):1-6.
Concha-Torre A, Díaz Alonso Y, Álvarez Blanco S, Vivanco Allende A, Mayordomo- Colunga J, Fernández Barrio B. The checklists: A help or a hassle? An Pediatr (Engl Ed) [Internet]. 2020;93(2):135.e1-135.e10. Disponible en: https://doi.org/10.1016/j.anpedi.2020.05.006
Salazar Maya ÁM, Osorio Galeano SP. Nursing Care Related with Surgical Position.
Investigación y Educación en Enfermería [Internet]. 2023;41(1):1-18. Disponible en:
https://doi.org/10.17533/udea.iee.v41n1e03
Haney V, Maman S, Prozesky J, Bezinover D, Karamchandani K. Improving intraoperative administration of surgical antimicrobial prophylaxis: a quality improvement report. BMJ Open Quality [Internet]. 2020;9(3:e001042). Disponible en: https://doi.org/10.1136/bmjoq-2020-001042
Hassan S, Chan V, Stevens J, Stupans I, Gentle J. Surgical antimicrobial prophylaxis in
open reduction internal fixation procedures at a metropolitan hospital in Australia: a retrospective audit. BMC Surgery [Internet]. 2021;21(404). Disponible en: https://doi.org/10.1186/s12893-021-01398-7
Wæhle HV, Haugen AS, Wiig S, Søfteland E, Sevdalis N, Harthug S. How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties. BMC Health Services Research [Internet].
;20(111):1-11. Disponible en: https://doi.org/10.1186/s12913-020-4965-5
Rogers J, Mcleish P, Alderman J. Perioperative nurses’ engagement with the surgical safety checklist: A focused ethnography. Journal of Perioperative Nursing [Internet].
;33(2):e17-25. Disponible en: https://www.journal.acorn.org.au/jpn/vol33/iss2/5
Bete DY, Sibhatu MK, Godebo MG, Abdulahi IJ, Liyew TW, Minas SM, et al. Improving surgical safety checklist utilisation at 23 public health facilities in Ethiopia: a collaborative quality improvement project. BMJ Open Quality [Internet]. 2023;12(4:e002406):1-7. Disponible en: https://doi.org/10.1136/bmjoq-2023-002406
Schwendimann R, Blatter C, Lüthy M, Mohr G, Girard T, Batzer S, et al. Adherence to the WHO surgical safety checklist: an observational study in a Swiss academic center. Patient Safety in Surgery [Internet]. 2019;13(14):1-6. Disponible en: https://doi.org/10.1186/s13037-019-0194-4
Fridrich A, Imhof A, Staender S, Brenni M, Schwappach D. A quality improvement initiative using peer audit and feedback to improve compliance. International Journal for Quality in Health Care [Internet]. 2022;34(3:mzac058):1-8. Disponible en: https://doi.org/10.1093/intqhc/mzac058
Ribeiro De Faria L, Ricardo Moreira T, Da Costa Carbogim F, Rocha Bastos R. Effect of the Surgical Safety Checklist on the incidence of adverse events: contributions from a
national study. Revista do Colégio Br asileiro de Cirurgiões [Internet].
;49(e20223286):1-12.
Disponible en: https://doi.org/10.1590/0100-6991e-20223286_en
Azhar H, Zaib N, Arif H, Jamil F, Waseem T. Clinical Audit of Compliance with WHO Surgical Safety Checklist in a Private Tertiary Care Surgical Facility. Archives of Surgical Research [Internet]. 2022;3(1):27-30. Disponible en: https://doi.org/10.48111/2022.01.04
Nofal MR, Starr N, Negussie Mammo T, Trickey AW, Gebeyehu N, Koritsanszky L, et al.
Addressing knowledge gaps in Surgical Safety Checklist use: statistical process control analysis of a surgical quality improvement programme in Ethiopia. British Journal of Surgery [Internet]. 2023;110(11):1511-7. Disponible en: https://doi.org/10.1093/bjs/znad234
Fridrich A, Imhof A, Schwappach DLB. Compliance with the surgical safety checklist in
Switzerland: an observational multicenter study based on self-reported data. Patient safety in surgery [Internet]. 2022;16(17):1-7. Disponible en: https://doi.org/10.1186/s13037-022-
-8 Chotimah S, Wijaya L. The Relationship of Nurse’s Long Work With Nurse’s
Compliance in Filling Surgical Safety Checklist. Jurnal Kesehatan dan Pembangunan
[Internet]. 2022;12(23):108-16. Disponible en: https://doi.org/10.52047/jkp.v12i23.124
Chandra Joshi D, Singh Saini R. Awareness and Compliance to International Patient Safety Goals among Healthcare Personnel of a Tertiary Care Hospital in Northern India. JCDR [Internet]. 2022;16(10):IC01-5. Disponible en: https://doi.org/10.7860/JCDR/2022/58145.17113
Alves P, Cortese M, Martinasso P, Maltempi R, Jacon J. Safe surgery: analysis of physicians’ adherence to protocols, and its potential impact on patient safety. Revista do Colégio Brasileiro de Cirurgiões [Internet]. 2020;47(e20202429):1-7. Disponible en:
https://doi.org/10.1590/0100-6991e-20202429
Sima N, Scribante J, Perrie H, Green-Thompson L. Perceptions of the perioperative team regarding the use of the WHO Surgical Safety Checklist. South Afr J Anaesth Analg [Internet]. 2024;30(1):13-9. Disponible en: https://doi.org/10.36303/SAJAA.3036
Padovano M, Scopetti M, Tomassi R, Manetti F, D’Errico S, Santurro A, et al. Mapping complications in thyroid surgery: statistical data are useful for medico-legal management of a recurrent safety issue. Updates in Surgery [Internet]. 2022;74(5):1725-32. Disponible en: https://doi.org/10.1007/s13304-022-01357-8
Kapira S, Aron MB, Mphande I, Chonongera G, Khongo BD, Zaniku HR, et al. Evaluating the uptake and effect of Surgical Safety Checklist implementation in a rural hospital, Neno District, Malawi. BMJ Open Quality [Internet]. 2023;12(4:e002426). Disponible en: https://doi.org/10.1136/bmjoq-2023-002426
Munusamy G, Gebremichael TB, Shanmugam R. Utilization of Who Surgical Safety Check List in Ayder Comprehensive Specialized Hospitalmekelle, Tigiray, Northern Ethiopia, 2017. International Journal of Current Research [Internet]. 2019;11(7):5289-95. Disponible en: http://dx.doi.org/10.24941/ijcr.35899.07.2019
De Brito Poveda V, De Santana Lemos C, García Lopes S, De Oliveira Pereira MC, De Carvalho R. Implementation of a surgical safety checklist in Brazil: cross-sectional study. Revista Brasileira de Enfermagem [Internet]. 2021;74(e20190874):1-5. Disponible en: https://doi.org/10.1590/0034-7167-2019-0874
Heideveld-Chevalking AJ, Calsbeek H, Hofland J, Meijerink WJHJ, Wolff AP.
Prospective methods for identifying perioperative risk-assessment methods for patient safety over 20 years: a systematic review. BJS Open [Internet]. 2020;4(2):197-205. Disponible en: https://doi.org/10.1002/bjs5.50246
Susmallian S, Barnea R, Azaria B, Szyper-Kravitz M. Addressing the important error of missing surgical items in an operated patient. Israel Journal of Health Policy Research [Internet]. 2022;11(19):1-10. Disponible en: https://doi.org/10.1186/s13584-022-00530-z
Trevilato DD, da Costa DC, Müller de Magalhães AM, Aquino Caregnato RC. Nurses’ conceptions regarding patient safety during surgical positioning. Revista Gaúcha de Enfermagem [Internet]. 2022;43(e20210045):1-11. Disponible en: https://doi.org/10.1590/1983-1447.2022.20210045.en
Manamela LM, Rasweswe MM, Mooa RS. Factors contributing to non-adherence of the peri-operative surgical team to WHO surgical safety checklist in the Kingdom of Saudi Arabia. Perioperative Care and Operating Room Management [Internet]. 2022;29(100292). Disponible en: https://doi.org/10.1016/j.pcorm.2022.100292
Sudarsana S, Swarjana IK, Darmini Y, Dharmapatni NWK. Implementation of Surgical
Safety Checklist : Literature Review. Jurnal Kesehatan Pasak Bumi Kalimantan [Internet].
;6(2):291-302. Disponible en:
http://dx.doi.org/10.30872/10.30872/j.kes.pasmi.kal.v6i2.12919
Van Dalen ASHM, Swinkels JA, Coolen S, Hackett R, Schijven MP. Improving teamwork and communication in the operating room by introducing the theatre cap challenge. Journal of Perioperative Practice [Internet]. 2022;32(1-2):4-9. Disponible en: https://doi.org/10.1177/17504589211046723
Shamdasani S, Kaur G, Ganjoo RK. Cornerstone of healthcare: awareness and compliance of patient safety measures in a large tertiary care hospital. International Journal of Research in Medical Sciences [Internet]. 2019;7(10):3795-802. Disponible en: http://dx.doi.org/10.18203/2320-6012.ijrms20194312
Cajamarca Chicaiza KM, Pogo Carrillo DI, Guaman Yupangui LM, Ushco Ullco LM,
Chacha Machay MV. Perspectiva del personal de enfermería ante la práctica de cirugía segura. LATAM Revista Latinoamericana de Ciencias Sociales y Humanidades [Internet].
;4(1):2286-94. Disponible en: https://doi.org/10.56712/latam.v4i
DOI: https://doi.org/10.23857/pc.v9i12.8575
Enlaces de Referencia
- Por el momento, no existen enlaces de referencia
Polo del Conocimiento
Revista Científico-Académica Multidisciplinaria
ISSN: 2550-682X
Casa Editora del Polo
Manta - Ecuador
Dirección: Ciudadela El Palmar, II Etapa, Manta - Manabí - Ecuador.
Código Postal: 130801
Teléfonos: 056051775/0991871420
Email: polodelconocimientorevista@gmail.com / director@polodelconocimiento.com
URL: https://www.polodelconocimiento.com/