Tecnologia educacional para cirurgia segura

Abstract

Introduction: The Safe Surgery Checklist is a tool used to ensure that all important actions in a surgery are taken. Developing educational technologies with user-centered design favors the team's awareness of the use of this tool. General objective: To develop an educational technology on the safe surgery checklist. Specific objectives: To evaluate the practices of a University Hospital surgical center related to the use of the safe surgery checklist; adapt the safe surgery checklist to the reality of the institution. Methodology: This is an applied research of technological development, carried out in the surgical center of a university hospital, following five stages. Stage I: Literature review; Stage II: Situational diagnosis of the sector; Step III: Adaptation and pilot testing of the safe surgical checklist; Stage IV: Organization of the Checklist implementation process; and Stage V: Development of an educational technology. Results: Among the 24 surgeries addressed in the study period and the 72 research participants including the nursing staff, surgeons and anesthesiologists and their respective residents, it was observed that the majority were female (51%), aged between 30 to 39 years (48%) and time working in the operating room from 05 to 10 years (42%). Regarding the analysis of participants' knowledge about surgical safety, we had greater adherence to the item identification of the patient (91%) and less adherence to the item verification of the consent form signed by the patient (33%). Regarding the discursive contributions of the participants for the adaptation of the checklist, each speech was considered, including the viable suggestions in the three stages of the surgical process (before anesthetic induction, before the surgical incision and before the patient leaves the operating room), which in most were in favor of using the tool in the context of improving surgical safety. Products: Two products were developed: an audiovisual educational technology (video) on the importance of using the safe surgery checklist and a checklist adapted to the reality of the researched scenario. Two scientific articles were also developed. Conclusion: Audiovisual educational technology makes it possible to sensitize the team to the use of the safe surgery checklist and to reduce possible factors that contribute to the occurrence of incidents involving patient safety, improving the quality of care provided. Also, in this sense, the adaptation of the checklist tool to the reality of the service contributes to patient safety and is a preponderant factor in the environment in which the patient will be treated