Feelings of pressure among operating room professionals when using the WHO safe surgery checklist

Author(s):  
Walter Swinnen
Keyword(s):  
2021 ◽  
Vol 7 (2) ◽  
pp. 035-041
Author(s):  
Raziyeh Ghafouri ◽  
Maryam Vosoghian ◽  
Zahra Malmir ◽  
Zahra Arasteh ◽  
Sepideh Khodadadi

Introduction: The prevalence of coronavirus has led to minimal and emergency surgeries. It is recommended that surgery should be performed if it is necessary during the treatment process in order not to interfere with the treatment of patients, but surgery, which are more likely to transmit COVID-19, should be identified in order to have a safe surgery and improve the safety of patients and staff. Therefore, the present study aimed to identify surgeries with the possibility of transmitting COVID-19. Method: The present study was conducted by an integrated review method. Searching was performed by keywords COVID-19, surgery, operating room, anesthesia, and instructions on PUBMED, Science Direct, Ovid, and ProQuest databases; and 98 studied were obtained. It decreased to 42 items after removing the duplicate items and reviewing the abstract of articles, and finally 23 studies were selected for review based on the inclusion criteria. The inclusion criteria were English and Persian languages; the relevance of articles on COVID-19, surgery and anesthesia. Results: Tracheostomy, ear, nose and throat, maxillofacial, and head and neck surgeries such thoracotomy are high-risk surgeries for the COVID-19 transmission. Conclusion: High-risk surgeries should be performed the full preventive precautions against the COVID-19 transmission.


2020 ◽  
Author(s):  
Raziyeh Ghafouri ◽  
Maryam Vosoghian ◽  
Zahra Malmir ◽  
Zahra Arasteh ◽  
Sepideh Khodadadi

BACKGROUND COVID-19crisis changes the patients' treatment procedures worldwide. Preventive procedures should be developed for COVID-19 in order to prevent its development, managethis epidemic properly, and provide safe and effective service. Operating room is aplace where it is important to follow the instructions to cope with this disease because the operating room staffsare at the highest risk of infection with COVID-19. The present study aimed to design instructions for behavior in the operating room during the COVID-19 epidemic. OBJECTIVE The present study aimed to design instructions for behavior in the operating room during the COVID-19 epidemic. METHODS The present study was conducted by a systematic review method. Searching was performed by keywords COVID-19, surgery, operating room, anesthesia, and instructions on PUBMED, Science Direct, Ovid, and ProQuest databases; and 98 studied were obtained. It decreased to 42 items after repeating the duplicate items and reviewing the summary of articles, and finally 23 studies were selected for review. First, the articles were reviewed based on the titles and summary, and if they were included in the study if they had the inclusion criteria. The inclusion criteria were English and Persian languages; the relevance of articles on COVID-19, surgery and anesthesia. RESULTS : Patients should be screened for COVID-19 for surgery, and caution should be exercised if they had ear, nose and throat, jaw and face, head and neck surgeries. Intubation is one of the most risky activities that need to be done with full caution. Chlorine for the surface and equipment, and Ultraviolet (UV) for operating rooms are now the most accessible and effective disinfectants. CONCLUSIONS Following the operating instructions in the operating room prevented the transmission of COVID among patients and staff and helped to perform safe surgery during the COVID-19 epidemic. CLINICALTRIAL -


Author(s):  
Jatin Kumar ◽  
Akash Sud

ABSTRACT ‘Hospitals do most of the right things, on most patients, most of the time. The checklist helps them to do all the right things, on all patients, all the time.’ According to International Patient Safety Goal-4 (IPSG-4), the hospitals need to ensure the correct patient, correct site, correct procedure and correct surgery. WHO launched Safe Surgery Saves Lives program in 2009 to reduce the number of surgical deaths across the globe. In the complex setting of an operating room, any of the steps may be overlooked during the fast-paced preoperative, intraoperative, or postoperative preparations. So a customized checklist was introduced after sensitization and training of all OT users to reinforce accepted safety practices and foster better communication and team work between clinical disciplines. The aim of the checklist is to reduce the number of errors during surgery and to reduce postoperative complications. The use of the checklist reduced the rate of deaths and complications by more than one-third. The rate of major inpatient complications dropped from 11 to 7%, and the inpatient death rate following major operations fell from 1.5 to 0.8% after implementation of the checklist. Audit tool printed at the backside of the checklist is analyzed every month, to observe the shortcomings. How to cite this article Kumar J, Sud A. Use of Checklist Prevents Errors during Surgeries. Int J Res Foundation Hosp Healthc Adm 2013;1(1):25-28.


2018 ◽  
Vol 5 ◽  
pp. 233339361876407 ◽  
Author(s):  
Elin Thove Willassen ◽  
Inger Lise Smith Jacobsen ◽  
Sidsel Tveiten

The use of World Health Organization’s (WHO’s) Safe Surgery checklist is an established practice worldwide and contributes toward ensuring patient safety and collaborative teamwork. The aim of this study was to elucidate operating room nurses’ and operating room nursing students’ experiences and opinions about execution of and compliance with checklists. We chose a qualitative design with semistructured focus group discussions. Qualitative content analysis was conducted. Two main themes were identified; the Safe Surgery checklists have varied influence on teamwork and patient safety, and taking responsibility for executing the checks on the Safe Surgery checklist entails practical and ethical challenges. The experiences and opinions of operating room nurses and their students revealed differences of practices and attitudes toward checklist compliance and the intentions of checklist procedures. These differences are related to cultural and professional distances between team members and their understanding of the Safe Surgery checklists as a tool for patient safety.


Author(s):  
J. D. Shelburne ◽  
Peter Ingram ◽  
Victor L. Roggli ◽  
Ann LeFurgey

At present most medical microprobe analysis is conducted on insoluble particulates such as asbestos fibers in lung tissue. Cryotechniques are not necessary for this type of specimen. Insoluble particulates can be processed conventionally. Nevertheless, it is important to emphasize that conventional processing is unacceptable for specimens in which electrolyte distributions in tissues are sought. It is necessary to flash-freeze in order to preserve the integrity of electrolyte distributions at the subcellular and cellular level. Ideally, biopsies should be flash-frozen in the operating room rather than being frozen several minutes later in a histology laboratory. Electrolytes will move during such a long delay. While flammable cryogens such as propane obviously cannot be used in an operating room, liquid nitrogen-cooled slam-freezing devices or guns may be permitted, and are the best way to achieve an artifact-free, accurate tissue sample which truly reflects the in vivo state. Unfortunately, the importance of cryofixation is often not understood. Investigators bring tissue samples fixed in glutaraldehyde to a microprobe laboratory with a request for microprobe analysis for electrolytes.


2009 ◽  
Author(s):  
Sadie F. Dingfelder
Keyword(s):  

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