Name: MAXIMIANA APARECIDA DOS REIS FONSECA

Publication date: 22/02/2022
Advisor:

Namesort descending Role
FLÁVIA BATISTA PORTUGAL Advisor *

Examining board:

Namesort descending Role
ELIANE DE FÁTIMA ALMEIDA LIMA Internal Examiner *
FLÁVIA BATISTA PORTUGAL Advisor *
LEILA MASSARONI Internal Alternate *

Summary: Introduction: The Safe Surgery Checklist is a tool used to ensure that all important
actions in a surgery are taken. Developing educational technologies with user-centered
design favors the team`s awareness of the use of this tool. General objective: To
develop an educational technology on the safe surgery checklist. Specific objectives:
To evaluate the practices of a University Hospital surgical center related to the use of
the safe surgery checklist; adapt the safe surgery checklist to the reality of the
institution. Methodology: This is an applied research of technological development,
carried out in the surgical center of a university hospital, following five stages. Stage I:
Literature review; Stage II: Situational diagnosis of the sector; Step III: Adaptation and
pilot testing of the safe surgical checklist; Stage IV: Organization of the Checklist
implementation process; and Stage V: Development of an educational technology.
Results: Among the 24 surgeries addressed in the study period and the 72 research
participants including the nursing staff, surgeons and anesthesiologists and their
respective residents, it was observed that the majority were female (51%), aged
between 30 to 39 years (48%) and time working in the operating room from 05 to 10
years (42%). Regarding the analysis of participants` knowledge about surgical safety,
we had greater adherence to the item identification of the patient (91%) and less
adherence to the item verification of the consent form signed by the patient (33%).
Regarding the discursive contributions of the participants for the adaptation of the
checklist, each speech was considered, including the viable suggestions in the three
stages of the surgical process (before anesthetic induction, before the surgical incision
and before the patient leaves the operating room), which in most were in favor of using
the tool in the context of improving surgical safety. Products: Two products were
developed: an audiovisual educational technology (video) on the importance of using
the safe surgery checklist and a checklist adapted to the reality of the researched
scenario. Two scientific articles were also developed. Conclusion: Audiovisual
educational technology makes it possible to sensitize the team to the use of the safe
surgery checklist and to reduce possible factors that contribute to the occurrence of
incidents involving patient safety, improving the quality of care provided. Also, in this
sense, the adaptation of the checklist tool to the reality of the service contributes to
patient safety and is a preponderant factor in the environment in which the patient will
be treated.

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