Seguridad del paciente en cirugías generales en un hospital de la ciudad de Guayaquil.

Abstract

Patient safety is the lack of injury due to prevention and application of safe practices, together with the deployment of scientific knowledge to minimize morbidity and mortality induced by the patient care process. Objective: Determine patient safety in general surgeries in a hospital in the City of Guayaquil. Method: descriptive, quantitative; prospective, transversal. Using the safe surgery checklist in order to obtain interventions in the three stages in surgery. Sample: 103 professionals, including surgeons, anesthesiologists, operating room nurses. Results: First stage: 41% have not marked the anatomical location, 8% have not checked the devices/medication, 11% failed to verify whether allergies exist or not, 8% verified the routes, but did not prepare the input/material, 8 % did not have liquids/blood ready. Second stage: 52% did not confirm the identity of the patient, 41% have not presented themselves with full names and functions in surgery; surgeon, 8% did not prevent blood loss; anesthetist, 16% did not present the specific problems that could be triggered; nurses, 9% did not check whether the instruments/equipment provided for sterilization; 12% were unable to visualize the main diagnostic images. Third stage: 10% have not correctly labeled the samples, 16% do not inspect the main aspects of recovery and treatment. Conclusion: An average performance of the surgical team's activities during the 3 phases of safe surgery was 82.53%.