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Cerrahi Ekip Üyelerinin Cerrahi Girişim Sırası Güvenli Cerrahi Kontrol ListesiTR Kullanımına İlişkin Kullanıcı Değerlendirmeleri

Year 2025, Issue: 25, 230 - 243, 29.04.2025

Nurgül Arpag , Sevgi Gür , H. Banu Katran , Fatma Huzur

https://doi.org/10.38079/igusabder.1591324

Abstract

Amaç: Güvenli Cerrahi Kontrol Listesi, Dünya Sağlık Örgütü tarafından hasta güvenliğini artırmak ve cerrahi hataları azaltmak için geliştirilmiş kritik bir araçtır. Bu araştırmanın amacı, cerrahi ekip üyelerinin cerrahi girişim sırasında Güvenli Cerrahi Kontrol ListesiTR’nin kullanımına ilişkin görüşlerini değerlendirmek ve uyumlarını artırmaya yönelik öneriler geliştirmektir.
Yöntem: Kesitsel-tanımlayıcı tasarımda gerçekleştiren bu çalışma, 02 Ocak 2024- 31 Mart 2024 tarihleri arasında İstanbul ilinde çalışan, 162 hemşire ve 172 anestezi teknisyeni/teknikeri olmak üzere 334 sağlık profesyoneli ile gerçekleştirildi. Veriler literatür doğrultusunda araştırmacılar tarafından geliştirilen, kontrol listesinin çeşitli öğelerini değerlendiren 33 maddeden oluşan Güvenli Cerrahi Kontrol ListesiTR Uygulama Algısı Anketi kullanılarak toplandı. İstatistiksel analizler, güvenilirlik testi (Cronbach's alpha) ve tanımlayıcı istatistikler dahil olmak üzere Statistical Package for the Social Sciences 26 programı kullanılarak yapıldı.
Bulgular: Güvenli Cerrahi Kontrol ListesiTR Uygulama Algısı Anketi için genel Cronbach alfa değeri 0,966 olup yüksek güvenilirliğe işaret etmektedir. Katılımcılar ortalama 153,57 ± 16,41 puan bildirmiş olup, pozitif uyum oranı yaklaşık %93'tür. En yüksek pozitif katılımın “Hastanın risk değerlendirmesi yapılmalıdır” maddesinde (%98.8), en düşük katılımın ise profilaktik antibiyotiklerin gerekliliğinin teyit edilmesinde (%74.9) olduğu belirlendi.
Sonuç: Araştırma sonuçları ekip üyeleri arasında Güvenli Cerrahi Kontrol ListesiTR’ye ilişkin farkındalığın yüksek olmasına karşın, özellikle daha az deneyimli ve eğitim seviyesi daha az çalışanlar arasında uygulamaya bağlılığın değişkenlik gösterdiğini ortaya koymaktadır. Bu durum, Güvenli Cerrahi Kontrol ListesiTR’ye uyumu iyileştirmek ve hasta güvenliğini artırmak için eğitim ile iletişim stratejilerine duyulan ihtiyacı ve başarılı bir şekilde uygulanmasının önemini vurgulamaktadır.

Keywords

Kontrol listesi uyum hasta güvenliği sağlık hizmeti kalitesi cerrahi hemşireliği

References

  • 1. Santos G, Jones MW. Prevention of Surgical Errors. In: StatPearls [Internet]. StatPearls Publishing; 2023.
  • 2. Ahsani-Estahbanati E, Sergeevich Gordeev V, Doshmangir L. Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviews. Front Med (Lausanne). 2022;9:875426. doi: 10.3389/fmed.2022.875426
  • 3. Rodziewicz TL, Houseman B, Hipskind JE. Medical Error Reduction And Prevention. In: StatPearls. StatPearls Publishing; 2022.
  • 4. World Health Organization (WHO). Implementation Manual WHO Surgical Safety Checklist. WHO; Published date 2009. Accessed February 2023. https://www.who.int/publications/i/item/9789241598590
  • 5. Gillespie BM, Harbeck EL, Lavin J, et al. Evaluation of a patient safety programme on surgical safety checklist compliance: A prospective longitudinal study. BMJ Open Qual. 2018;7(3):e000362. doi: 10.1136/bmjoq-2018-000362.
  • 6. Ribeiro L, Fernandes GC, Souza EG, et al. Safe surgery checklist: Filling adherence, inconsistencies, and challenges. Rev Col Bras Cir. 2019;46(5):e20192311. doi: 10.1590/0100-6991e-20192311.
  • 7. Neuhaus C, Spies A, Wilk H, et al. Attention everyone, time out!: Safety attitudes and checklist practices in anesthesiology in Germany. J Patient Saf. 2021;17(6):467-471. doi: 10.1097/PTS.0000000000000386.
  • 8. Sağlık Bakanlığı (SB). Güvenli Cerrahi Uygulama Rehberi. 2.0 ed. Sağlık Hizmetleri Genel Müdürlüğü; 2015. ISBN: 978-975-590-576-1. Accessed March 11, 2023. https://shgmkalitedb.saglik.gov.tr/TR,12638/sks-rehberleri.html
  • 9. Gökay P, Taştan S, Ayhan H, İyigün E, Can MF. Dünya Sağlık Örgütü güvenli cerrahi kontrol listesinin kullanımı: Sistematik inceleme. Gülhane Tıp Derg. 2016;58(2):136-142.
  • 10. Karayurt Ö, Damar HT, Bilik Ö, Özdöker S, Duran M. Ameliyathanede hasta güvenliği kültürünün ve güvenli cerrahi kontrol listesinin kullanımının incelenmesi. Acıbadem Univ Sağlık Bilimleri Derg. 2017;1:16-23.
  • 11. Kasatpibal N, Sirakamon S, Punjasawadwong Y, et al. Satisfaction and barriers of surgical safety checklist implementation in a nonmandatory adoption resource-limited country. J Patient Saf. 2021;17(8):e1255-e1260. doi: 10.1097/PTS.0000000000000453.
  • 12. Christofer R, Gerd J, Per O, Kristina Å, Per AL. Compliance with the WHO surgical safety checklist: Deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. doi: 10.1093/intqhc/mzt004.
  • 13. StatCalc calculator. Accessed August 2024. https://www.danielsoper.com/statcalc/calculator.aspx?id=1
  • 14. Candaş B, Gürsoy A. Cerrahide hasta güvenliği: Güvenli cerrahi kontrol listesi. ERÜ Sağlık Bilimleri Fak Derg. 2015;3(1):40-50.
  • 15. Liu LQ, Mehigan S. A systematic review of interventions used to enhance implementation of and compliance with the world health organization surgical safety checklist in adult surgery. AORN J. 2021;114(2):159-170. doi: 10.1002/aorn.13469.
  • 16. Treadwell JR, Lucas S, Tsou AY. Surgical checklists: A systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318.
  • 17. Schwendimann R, Blatter C, Lüthy M, et al. Adherence to the WHO surgical safety checklist: An observational study in a Swiss academic center. Patient Saf Surg. 2019;13:1-6. doi: 10.1186/s13037-019-0194-4.
  • 18. Gong J, Ma Y, An Y. The surgical safety checklist: A quantitative study on attitudes and barriers among gynecological surgery teams. BMC Health Serv Res. 2021;21:1106. doi: 10.1186/s12913-021-07130-8.
  • 19. Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: A multinational survey. Ann Surg Open. 2021;2(3):e075. doi: 10.1097/AS9.0000000000000075.
  • 20. Bozkurt S, Tüzer H. Cerrahide hasta güvenliği: Cerrahi ekibinin güvenli cerrahi kontrol listesini uygularken karşılaştığı ramak kala olayların incelenmesi. Bezmialem Sci. 2023;11(1):120-127. doi: 10.14235/bas.galenos.2022.14632.
  • 21. Bosk CL, Dixon-Woods M, Goeschel CA, Pronovost PJ. Reality check for checklists. Lancet. 2009;374(9688):444-445. doi: 10.1016/S0140-6736(09)61440-9.
  • 22. Bratzler DW, Dellinger EP, Olsen KM, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 2013;70(3):195-283. doi: 10.2146/ajhp120568.
  • 23. Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical site infection guidelines, 2016 update. J Am Coll Surg. 2017;224(1):59-74. doi: 10.1016/j.jamcollsurg.2016.10.029.
  • 24. Paterson C, McKie A, Turner M, Kaak V. Barriers and facilitators associated with the implementation of surgical safety checklists: A qualitative systematic review. J Adv Nurs. 2024;80(2):465-483.

Surgical Team Members' User Evaluations on the Use of Safe Surgery ChecklistTR during Surgical Intervention

Year 2025, Issue: 25, 230 - 243, 29.04.2025

Nurgül Arpag , Sevgi Gür , H. Banu Katran , Fatma Huzur

https://doi.org/10.38079/igusabder.1591324

Abstract

Aim: The Safe Surgery Checklist is a critical tool the World Health Organization developed to improve patient safety and reduce surgical errors. This study aimed to evaluate the opinions of surgical team members regarding using the Safe Surgery ChecklistTR during surgical intervention and to develop recommendations to improve their compliance.
Method: This cross-sectional and descriptive study was conducted with 334 healthcare professionals, including 162 nurses and 172 anesthesia technicians, working in Istanbul between January 02, 2024, and March 31, 2024. Data were collected using the Safe Surgery ChecklistTR Implementation Perception Questionnaire developed by the researchers in line with the literature and consisted of 33 items evaluating various elements of the checklist. Statistical analyses, including reliability tests (Cronbach's alpha) and descriptive statistics, were performed using the Statistical Package for the Social Sciences 26 program.
Results: The overall Cronbach's alpha value for the Safe Surgery ChecklistTR Implementation Perception Questionnaire was 0.966, indicating high reliability. Participants reported a mean score of 153.57±16.41, with a positive agreement rate of approximately 93%. The highest positive agreement was found for the item “Patient risk assessment should be performed” (98.8%) and the lowest agreement was found for confirming the necessity of prophylactic antibiotics (74.9%).
Conclusion: The study's results revealed that although awareness of the Safe Surgery ChecklistTR was high among team members, adherence to the practice varied, especially among less experienced and less educated staff. This highlights the need for education and communication strategies to improve adherence to the Safe Surgery ChecklistTR and increase patient safety and the importance of its successful implementation.

Keywords

Checklist compliance patient safety quality of healthcare surgical nursing

Ethical Statement

This study was carried out with the approval of the Ethics Committee of İstanbul Atlas University, dated 09/10/2023 and numbered 08/01. A signed subject consent form in accordance with the Declaration of Helsinki was obtained from each participant.

References

  • 1. Santos G, Jones MW. Prevention of Surgical Errors. In: StatPearls [Internet]. StatPearls Publishing; 2023.
  • 2. Ahsani-Estahbanati E, Sergeevich Gordeev V, Doshmangir L. Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviews. Front Med (Lausanne). 2022;9:875426. doi: 10.3389/fmed.2022.875426
  • 3. Rodziewicz TL, Houseman B, Hipskind JE. Medical Error Reduction And Prevention. In: StatPearls. StatPearls Publishing; 2022.
  • 4. World Health Organization (WHO). Implementation Manual WHO Surgical Safety Checklist. WHO; Published date 2009. Accessed February 2023. https://www.who.int/publications/i/item/9789241598590
  • 5. Gillespie BM, Harbeck EL, Lavin J, et al. Evaluation of a patient safety programme on surgical safety checklist compliance: A prospective longitudinal study. BMJ Open Qual. 2018;7(3):e000362. doi: 10.1136/bmjoq-2018-000362.
  • 6. Ribeiro L, Fernandes GC, Souza EG, et al. Safe surgery checklist: Filling adherence, inconsistencies, and challenges. Rev Col Bras Cir. 2019;46(5):e20192311. doi: 10.1590/0100-6991e-20192311.
  • 7. Neuhaus C, Spies A, Wilk H, et al. Attention everyone, time out!: Safety attitudes and checklist practices in anesthesiology in Germany. J Patient Saf. 2021;17(6):467-471. doi: 10.1097/PTS.0000000000000386.
  • 8. Sağlık Bakanlığı (SB). Güvenli Cerrahi Uygulama Rehberi. 2.0 ed. Sağlık Hizmetleri Genel Müdürlüğü; 2015. ISBN: 978-975-590-576-1. Accessed March 11, 2023. https://shgmkalitedb.saglik.gov.tr/TR,12638/sks-rehberleri.html
  • 9. Gökay P, Taştan S, Ayhan H, İyigün E, Can MF. Dünya Sağlık Örgütü güvenli cerrahi kontrol listesinin kullanımı: Sistematik inceleme. Gülhane Tıp Derg. 2016;58(2):136-142.
  • 10. Karayurt Ö, Damar HT, Bilik Ö, Özdöker S, Duran M. Ameliyathanede hasta güvenliği kültürünün ve güvenli cerrahi kontrol listesinin kullanımının incelenmesi. Acıbadem Univ Sağlık Bilimleri Derg. 2017;1:16-23.
  • 11. Kasatpibal N, Sirakamon S, Punjasawadwong Y, et al. Satisfaction and barriers of surgical safety checklist implementation in a nonmandatory adoption resource-limited country. J Patient Saf. 2021;17(8):e1255-e1260. doi: 10.1097/PTS.0000000000000453.
  • 12. Christofer R, Gerd J, Per O, Kristina Å, Per AL. Compliance with the WHO surgical safety checklist: Deviations and possible improvements. Int J Qual Health Care. 2013;25(2):182-187. doi: 10.1093/intqhc/mzt004.
  • 13. StatCalc calculator. Accessed August 2024. https://www.danielsoper.com/statcalc/calculator.aspx?id=1
  • 14. Candaş B, Gürsoy A. Cerrahide hasta güvenliği: Güvenli cerrahi kontrol listesi. ERÜ Sağlık Bilimleri Fak Derg. 2015;3(1):40-50.
  • 15. Liu LQ, Mehigan S. A systematic review of interventions used to enhance implementation of and compliance with the world health organization surgical safety checklist in adult surgery. AORN J. 2021;114(2):159-170. doi: 10.1002/aorn.13469.
  • 16. Treadwell JR, Lucas S, Tsou AY. Surgical checklists: A systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318.
  • 17. Schwendimann R, Blatter C, Lüthy M, et al. Adherence to the WHO surgical safety checklist: An observational study in a Swiss academic center. Patient Saf Surg. 2019;13:1-6. doi: 10.1186/s13037-019-0194-4.
  • 18. Gong J, Ma Y, An Y. The surgical safety checklist: A quantitative study on attitudes and barriers among gynecological surgery teams. BMC Health Serv Res. 2021;21:1106. doi: 10.1186/s12913-021-07130-8.
  • 19. Urban D, Burian BK, Patel K, et al. Surgical teams' attitudes about surgical safety and the surgical safety checklist at 10 years: A multinational survey. Ann Surg Open. 2021;2(3):e075. doi: 10.1097/AS9.0000000000000075.
  • 20. Bozkurt S, Tüzer H. Cerrahide hasta güvenliği: Cerrahi ekibinin güvenli cerrahi kontrol listesini uygularken karşılaştığı ramak kala olayların incelenmesi. Bezmialem Sci. 2023;11(1):120-127. doi: 10.14235/bas.galenos.2022.14632.
  • 21. Bosk CL, Dixon-Woods M, Goeschel CA, Pronovost PJ. Reality check for checklists. Lancet. 2009;374(9688):444-445. doi: 10.1016/S0140-6736(09)61440-9.
  • 22. Bratzler DW, Dellinger EP, Olsen KM, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Am J Health Syst Pharm. 2013;70(3):195-283. doi: 10.2146/ajhp120568.
  • 23. Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: Surgical site infection guidelines, 2016 update. J Am Coll Surg. 2017;224(1):59-74. doi: 10.1016/j.jamcollsurg.2016.10.029.
  • 24. Paterson C, McKie A, Turner M, Kaak V. Barriers and facilitators associated with the implementation of surgical safety checklists: A qualitative systematic review. J Adv Nurs. 2024;80(2):465-483.
There are 24 citations in total.

Details

Primary Language English
Subjects Surgical Diseases Nursing​​
Journal Section Articles
Authors

Nurgül Arpag 0000-0002-7774-3844

Sevgi Gür 0000-0002-6925-3351

H. Banu Katran 0000-0001-5095-6316

Fatma Huzur 0009-0002-2936-293X

Early Pub Date April 29, 2025
Publication Date April 29, 2025
Submission Date December 8, 2024
Acceptance Date March 13, 2025
Published in Issue Year 2025 Issue: 25

Cite

JAMA Arpag N, Gür S, Katran HB, Huzur F. Surgical Team Members’ User Evaluations on the Use of Safe Surgery ChecklistTR during Surgical Intervention. IGUSABDER. 2025;:230–243.
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