Resumen:
Problem Development:
Abstract
Surgical care is an essential service that is offered in a hospital, and where errors are usually fatal, in recent years has been advanced in surgical technology but the quality and safety of the patient are still in the process of development. Conamed defines that bad practice occurs when quality medical care is not carried out that is not done with adherence to the patient's quality and safety protocols. During the work I have developed during my nursing career, I have noticed that there are still many gaps in the implementation of the Safe Surgery protocol. Who in 2011 reports that, of 234 million surgical interventions a year, between 3% and 25% of these surgeries lead to complications and cause disability or prolonged hospital stay (conamed, 2011).
The checklist provided by the WHO in 2009 is not very specific in certain areas, even if the same organization promotes that the sheet is not intended to be so exhaustive, there are improvements in the instrument that can be added or created Greater specificity to improve the safety of patients in the operating room.
General Objective
Restructure and validate the WHO-based safe surgery checklist to make it more specific, useful for the operating room activities and patient safety, through expert judgement.
Methods
A quantitative type investigation was carried out, with an analytical design, prospective, and length. During the investigation we worked with 15 experts who had postgraduate and post-technical studies in surgical nursing, the validation process of the safe surgery Checklist, consisting of 3 phases with Likert scale instruments for obtaining of numerical data. He dealt with Cronbach's Alpha statistical test for instrument reliability.
Conclusions
There is a consensus by experts on the need for adaptations and changes to LVCS according to the needs and the particular context, as suggested by WHO. It was possible to modify the sections of the safe surgery based on the experience of the investigator and the expert. Getting improvements where it was considered necessary. The security issues are very broad and you can still do a lot to contribute to this cause, there are many needs in each health institution. This study can follow a line of research that can still be explored