Seguridad del paciente en las cirugías gineco obstétricas en un hospital de la ciudad de Guayaquil, 2024.

Abstract

Patient safety is an important component in the quality of healthcare, especially in the gynecological-obstetric surgical environment, where the risks inherent to the procedures require rigorous and systematic management, due to the delicate nature of the procedures and the impact on the health and well-being of both the mother and the fetus. Objectives: To determine patient safety in gynecological-obstetric surgeries in a hospital in the city of Guayaquil, 2024. Methodology: quantitative, descriptive, crosssectional, prospective. Population: 100 observations of surgeries to health professionals. Results: The study showed that cesarean section is the most frequent procedure in the gynecological-obstetric center, representing 55% of the surgeries performed, followed by hysterectomy and myomectomy. Regarding safe practices before anesthetic induction, 100% compliance was observed in the verification of patient identity and the procedure, although only 17% of cases complied with the demarcation of the surgical site. Before the incision, the presentation of the surgical team was carried out in 42% of cases and verbal confirmation of the site in 69%. Finally, before the patient left the operating room, the count of surgical material was completed in 100% of cases. Conclusion: The study shows an average of 80.7% identifying problems in the first phase of surgery, which is the entry before the induction of anesthesia, so that opportunities for improvement are presented currently.