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971 Uppsatser om Surgical safety - Sida 1 av 65

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.

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.

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.

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. .

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.

Med Personen i Centrum - Sjuksköterskors uppfattningar om att vårda patienter med ett palliativt vårdbehov på en akutkirurgisk vårdavdelning

Introduction: On the surgical wards in most hospitals in Sweden patients with different surgical needs are cared for. Patients with gastrointestinal conditions are, for example, nurtured alongside patients with urological disorders or patients in need of observation for head trauma. When the nurse, in addition to these patients, have to care for patients with palliative care needs can be perceived as problematic for nurse and patient alike.Purpose: The purpose of this study is to explore nurses' perceptions of care for patients with palliative care needs on an acute surgical ward, based on a person-centered perspective.Method: A focus group interview was conducted with the strategic selection of nurses from two acute surgical wards in a county hospital in western Sweden. The data from the interview were analyzed with qualitative directed, deductive content analysis with person-centered care as a theoretical framework. The theoretical background shows that person-centered care includes partnership, participation and structured documentation.Results: The results of this study show that even a fourth category, organization, emerged and needed to be reported.

Instrumentbordets sterilitet

Background: Postoperative infections are a serious patient safety problem and affects about 3 % of all patients undergoing surgery. The consequences are prolonged hospital stays, high social costs, increased use of antibiotics and impaired quality of life for the patient. It has been shown that postoperative infections may be caused by contamination already in the operating room. Today we know that there is growth of microorganisms on the instrument table´s top, but there is a research gap about the instrument table's edges.Aim: To examine if the sterile drape on the instrument table´s edges are sterile after finished surgery.Method: Contact plates are printed on strategically selected areas on the sterile drapes top and edges. In the pilot study, a total of 51 cultures were taken at the end of three operations which lasted over three hours.Results: Growth on the top surface and the edges of the sterile drape were detected.

Trygghetens betydelse för fritidshemmets vardag

In my essay I'm studying what aspects of the school environment that influences the pupils experience of safety and what aspects that strengthens the experience of safety. I'm introducing three different dilemmas from three different places in the school environment. The three dilemmas have that in common that they focus on safety. I'm introducing the after-school centre commission according to the National Agency for Education, presenting results and theories from various researchers and authors about how you can work with safety regarding children's development and learning. My conclusion is that safety is a very important aspect when it comes to learning and for the overall development of children.

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