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Protocolo de Cirurgia Segura da OMS: O grau de conhecimento dos ortopedistas brasileiros

机译:世卫组织安全手术议定书:巴西骨科医生的知识程度

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摘要

Objective:The research examined Brazilian orthopedists' degree of knowledge of the World Health Organization Surgical Safety Checklist.Methods:A voluntary survey was conducted among the 3231 orthopedists taking part in the 44th Brazilian Congress of Orthopedics and Traumatology in November 2012, using a questionnaire on the use of WHO Surgical Safety Checklist. A statistical analysis was done upon receipt of 502 completed questionnaires.Results:Among the 502 orthopedists, 40.8% reported the experience of wrong site or wrong patient surgery and 25.6% of them indicated miscommunication as the main cause for the error. 35.5% of the respondents do not mark the surgical site before sending the patient to the operating room and 65.3% reported lack of knowledge of the World Health Organization (WHO) Surgical Safety Checklist, fully or partially. 72.1% of the orthopedists have never been trained to use this protocol.Discussion:Medical errors are more common in the surgical environment and represent a high risk to patient safety. Orthopedic surgery is a high volume specialty with major technical complexity and therefore with increased propensity for errors. Most errors are avoidable through the use of the WHO Surgical Safety Checklist. The study showed that 65.3% of Brazilian orthopedists are unaware of this protocol, despite the efforts of WHO for its disclosure.
机译:目的:研究调查了巴西骨科医师对世界卫生组织手术安全检查表的了解程度。方法:对2012年11月第44届巴西骨伤科大会的3231名骨科医师进行自愿调查使用世卫组织手术安全清单。结果:收到502份完整的问卷后,进行了统计分析。结果:在502位骨科医生中,有40.8%的人报告了错误的部位或错误的患者手术经历,其中25.6%的人表示沟通错误是错误的主要原因。 35.5%的受访者在将患者送往手术室之前未标记手术部位,而65.3%的受访者表示完全或部分缺乏对世界卫生组织(WHO)手术安全清单的了解。 72.1%的骨科医生从未接受过使用此方案的培训。讨论:医疗错误在外科手术环境中更为常见,对患者安全性构成高风险。骨科手术是一项具有大量技术复杂性的高容量专科,因此增加了发生错误的可能性。通过使用WHO手术安全检查表可以避免大多数错误。该研究表明,尽管世卫组织已努力披露该方案,但仍有65.3%的巴西骨科医师不知道该方案。

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