Användandet av WHO
s modifierade checklista för säker kirurgi
Theater NurseParticipationSurgical Safety ChecklistOperationssjuksköterskaMedverkanChecklista för säker kirurgi
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. A total of 16 Theatre Nurses participated in this study.ResultsNone of the Theatre Nurses confirmed all the steps in all phases of the checklists during an operation. However one Theatre Nurse confirmed all the steps in the Sign Out phase at one occasion. There was no team member in either Theatre allocated to read out all the steps in the checklist and to make sure that all the steps were completed.ConclusionInsufficient compliance to the checklist prevails in both Theatres and they need to improve quality measures in order to increase adherence to the checklists to promote patient safety.Clinical significanceThis study describes the Theatre Nurses? participation in performing the checklists in the two Theatres were the observations were carried out. The study may inspire improvement measures and provide inspiration for further research.