Experiences in the implementation of the Safe Surgery Verification Checklist at the National Hospital Arzobispo Loayza, 2014-2016

Abstract

The objective was determining the experiences in the implementation of the Safe Surgery Verification Checklist (SSVC) in the National Hospital Arzobispo Loayza in period 2014-2016. The Methodology was descriptive, retrospective study of a documentary review of 2,466 clinical histories with the SSVC application sheet. It was used two instruments that evaluated the compliance of the SSVC through a control matrix to check 20 items in the three phases of execution with correct filling and omission, also a survey was applied to the personnel (Surgery, Anesthesia and Nursing). Its work in Surgical Center where the factors that limit the application of the SSVC were identified, previously assuming the respective ethical considerations. Results were compliance with the SSVC reached 93% and the most frequent noncompliance in the Entry phase referred to the risk assessment of bleeding > 500 mL (36%). In the Pause phase the item verifies the antibiotic prophylaxis administered in the last 60 minutes (39%) of the total of omissions. In the exit phase the item review the critical aspects of recovery and treatment in immediate PO (42%). The factors that limit the application of the SSVC were: Lack of staff motivation (34%), ignorance, lack of training and problems in the distribution of personnel / tasks (10% respectively). In conclusions a high level of compliance is evidenced, however, the quality of the registry shows a poor involvement of interdisciplinary responsibility, weakening the safe environment for the surgical patient.