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1057 Uppsatser om Surgical Safety Checklist - Sida 1 av 71
Operationssjuksköterskors beskrivningar av att arbeta med WHO:s checklista för säkerhet vid operationer
Background:In Sweden there are several thousand surgical procedures performed every day. The treatment is expected to be efficient, profitable and safe. Despite that, complications occur in 3-16 % of the surgical procedures. To prevent this, WHO has developed a Surgical Safety Checklist containing safety issues to give the surgery team an opportunity to a last control that everything has been properly done. The profession of the surgical nurse focuses mainly on patient safety especially regarding hygiene and sterility.Aim: The aim of the study was to investigate and describe the perceptions of the perioperative nurses regarding WHO: s Surgical Safety Checklist.Method:To test the suitability of the method a pilot study was performed where tree operating room nurses were interviewed and the data was analyzed using qualitative content analysis.Results: Four categories emerged; Increased patient safety, enhanced team spirit, good planning, stronger professional role.Discussion: The result from the study showed positive perceptions regarding the Surgical Safety Checklist, a fact known from earlier research.Conclusion: The results of the pilot study showed that surgical nurses had good support in their work when the Surgical Safety Checklist was used..
Användandet av WHO:s modifierade checklista för säker kirurgi : En studie om operationssjuksköterskans medverkan
BackgroundWorld Alliance for Patient Safety, launched by the WHO, has created a Surgical Safety Checklist. It was first published in 2008 and has been translated and modified in Sweden by Landstingens Ömsesidiga Försäkringsbolag, LÖF. The use of the WHO Surgical Safety Checklist has been shown to reduce the number of complications and deaths related to surgery.AimThe aim of this study is to describe the Theatre Nurse?s participation in in the use of a modified version of the WHO Surgical Safety Checklist intraoperatively in two Theatres in a hospital in the centre of Sweden.MethodThis study has a quantitative descriptive approach. A direct observational study was carried out in two Theatres and the participants were asked a few complementary questions after the observations.
Användning av WHO:s checklista för säkerhet vid operationer och operationssjuksköterskans medverkan.
Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.
Egenvård vid hjärtsvikt : Hjärtsviktspatienters användande av egenvårdsåtgärder
Background: Surgical complications has been the main cause of medical injuries and deaths worldwide. In 2008 WHO developed the checklist for safe surgery to reduce the number of surgical complications. The objective of the checklist is to strengthen already established safety routines and contribute to better cooperation and communication. Research shows that compliance to the checklist is deficient, which can affect patient safety.Aim: The aim was to study the extent to which theatre nurses participate in the use of the checklist.Method: Observational study was conducted with a descriptive design and quantitative approach. 24 observations were carried out with aid of an observation protocol of two surgical units at a hospital in central Sweden.Result: The results showed that Timeout initiated widely but compliance to all items was considerably lower.
Upplevelse av kommunikation, samarbete och säkerhet hos sköterskor som arbetar på en operationssal.
Syftet med studien var att undersöka hur sköterskor som arbetar på en operationsavdelning där WHO´s Surgical Safety Checklist används, upplever kommunikation, samarbete och patientsäkerhet.Kort metodbeskrivning: Kvantitativ metod. Design: Deskriptiv, retrospektiv, icke-experimentell tvärsnittsstudie. Datainsamlingen genomfördes på en operationsavdelning som använt WHO´s Surgical Safety Checklist drygt ett år. Deltagarna fick anonymt besvara ett frågeformulär med strukturerade frågor, en översatt version av the Safety Attitudes Questionnaire (SAQ) anpassad till operationspersonal (OR). I studien undersöktes 3 av frågeformulärets 6 teman: säkerhetskultur, samarbetsklimat och stressidentifiering.
Analys av stationsplattformsutformning ur ett säkerhetsperspektiv
Train travel has increased in Sweden, and future increase of train transports putdemands on the already vastly exploited railroad net. The increased need of capacitycan be seen in the ongoing and planned expansions of the railway track. One part ofthe railroad infrastructure which is affected by an increase of travellers is the design ofthe station platform. Since the platform is the place where the traveller meets thetrain, dangerous situations can occur in this environment. A number of studies focuson single safety risks, albeit there is no research to show the full picture of safety inthe platform environment.This study aims to treat and put together a compilation of risks for the traveller in theplatform environment in the form of a checklist, which can be used as support inplanning and design of a safer platform environment for existing or planned platforms.The thesis has, through case studies of five ongoing projects within the NationalRailroad Administration (Banverket), interviews with train company personnel andinternational railroad administrators, identified and treated safety (and security) risksin the platform environment.The conclusion of the study is that the relations between the traveller, the physicalplatform environment and the project organisation are important to explore andexploit when designing effective safety measures.
Driftkostnadsanalys i väginvesteringsprojekt
During its lifetime, a road goes through a number of different stages; pre-study,inquiry of the road, work plan, documenting stage, building stage and operatingstage. The operating stage is the one that takes the longest time and costs themost. Those have a tendency of becoming unnecessarily high because the projectengineers don?t always take the management and maintenance prerequisites intoconditions.To decrease the management and maintenance costs, the Swedish RoadAdministration SouthEast has been in need of a work procedure that makes theroaddesign engineers take the management and maintenance of the road intoconsideration. This shall be achieved by a checklist where the most commondesigns that lead to increased management- and maintenance costs are compiledand listed.Through interviews with project leaders in management, the most commonproblems have been identified, analyzed and summarized under the headlineswinter-road, vegetation, road equipment and road designs.To elucidate the problem from several points of view, interviews wereimplemented with project leaders in investment and roaddesign engineers.
Operationssjuksköterskan upplevelse av WHO´s checklista för säker kirurgi
Världshälsoorganisationens (WHO) checklista för säker kirurgi utvecklades för att minska risken för kirurgiska komplikationer och dödsfall i samband med kirurgi. Kommunikationen i operationssalen behöver förbättras mellan alla personalkategorier så att säkerhetsåtgärder blir konsekventa och rätt utförda. Målet med sjukvården är att främja en hög patientsäkerhet för att minimera andelen vårdrelaterade skador. Trots att WHO´s checklista visat positiva resultat finns indikationer på att följsamheten minskar samt att den möts av motstånd från personalen. Syftet med studien var att belysa operationssjuksköterskans upplevelse vid användningen av WHO´s checklista.
Säkerhetsarbetet vid Kils RF och Färjestads RK
The purpose of this essay is to examine how two riding schools work with their safety. Riding is one of the most popular sports in Sweden but also very dangerous. Sweden has a lot of riding schools and almost half a million that rides. Therefore it?s very important that riding, and especially riding at riding schools has the highest level of safety with regards to harmful events.The purpose leads to the overarching research question for this essay, which is: How does the Safety work look at two riding schools in the area of Karlstad? Out of this question, seven specified research questions have been constructed.
Riskstatusbedömning : Ett djupgående analysverktyg för sevesoanläggningar
Safety and risk management currently have a starting point based on the negative outcome of safety, thus the lack of safety. The starting point for the thesis is to find a way to measure the positive outcome of safety through ergonomic aspects regarding chemical plants that are covered of the Seveso II Directive.Through a literature study of safety and ergonomics fourteen key aspects of safety were found. Safety Performance Indicators (SPI's) are used to assess the fourteen identified proactive indicators of safety. An analysis in three steps - called risk status assessment - is design to give an SPI its value. A pilot study of the risk status assessment was performed at the ethanol producer Lantmännen Agroetanol in Norrköping, Sweden..
När man inte vet - Patienters upplevelser av att vårdas för ospecifik buksmärta på kirurgiska akutvårdsavdelningar
Introduction: To become acute ill and to be forced to seek treatment involves a difficult but also a vulnerable time for the individual. This acquires a good relationship between the nurse and the patient. At a surgical emergency ward patients with different diagnoses and trauma are treated. What distinguishes this specific type of ward is that care often occurs in a rapid rate and as a patient the environment may be experienced as stressed. The relationship with the nurse at the ward establishes a foundation for how the patient experiences the health care.
Simhall i Viskafors
Today, the catering personnel are an essential part of the safety organization on board Swedish passenger vessels in ferry services. Their responsibilities for the safety on board have increased in connection with the changes in regulations made on the shipping industry. These changes have been mostly related to human factors and structural leadership in the last 25 years.A well-functioning safety organization requires competence and commitment from every individual. Previous researches on Swedish passenger ferries concerning the safety organization have raised issues regarding the catering personnel?s perception of the safety on board.
Surgical stress response in dogs diagnosed with pyometra undergoing ovariohysterectomy
The aim of this study was to investigate the intraoperative surgical stress response in dogs undergoing ovariohysterectomy and to compare acepromazine and medetomidine as premedications. 15 dogs diagnosed with pyometra were used in this study. Blood pressure and heart rate were used as parameters to measure surgical stress response. The surgery was divided into four phases. Phase 0 was the period 10 minutes before the skin incision, phase 1 was skin incision and opening of abdomen, phase 2 was manipulation of uterine horns, ligation and transection of mesovarium and phase 3 was ligation of cervix, removal of organs and closing the abdomen.
The results showed that phase 2 was the most intense phase of surgical stress, regardless of which premedication the dogs received.
When acepromazine and medetomidine were compared the results showed that within phase 3, all dogs that were given medetomidine had higher blood pressure compared to dogs that were given acepromazine.
The dogs that were given acepromazine had higher heart rate than the dogs that were given medetomidine in phase 0, phase 2 and phase 3.
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Säkerhetsorganisationen på svenska traditionsfartyg
This report is a study of Swedish traditional ships and their safety organization. The focus is on how the non-profit organizations that operate the traditional ships can adapt to current regulations in the best way. Initially a background on traditional ships, their organization and regulations that regulates them will be presented.The study is focused on which parts that can be more important in the safety organizations for traditional ships. The questions also includes if a non-profit organization might affect the safety and how the role as designated person should be handled in these organizations. Furthermore the study addresses how a non-profit organization that operates traditional ships might improve their safety organization.The information is gathered by interviews with persons that work with safety, controls safety organizations or is active in organizations that operate traditional ships.
Intendenturpersonalens syn på säkerhetsarbetet ombord på ett passagerarfartyg i färjetrafik
Today, the catering personnel are an essential part of the safety organization on board Swedish passenger vessels in ferry services. Their responsibilities for the safety on board have increased in connection with the changes in regulations made on the shipping industry. These changes have been mostly related to human factors and structural leadership in the last 25 years.A well-functioning safety organization requires competence and commitment from every individual. Previous researches on Swedish passenger ferries concerning the safety organization have raised issues regarding the catering personnel?s perception of the safety on board.