Abstract

MEDICAL KNOWLEDGE ABOUT SAFE SURGERY IN AN ACCREDITED HOSPITAL BRAZILIAN HEALTH CARE SYSTEM (SUS)

*Luiz Eduardo Imbelloni, Larissa Coelho, Camila Queiroga, Marildo A. Gouveia, Geraldo Borges De Morais Filho

ABSTRACT

Background: The safe surgery protocol is recommended to improve patient safety and is poorly applied in Brazilian public health care system (SUS) hospitals. The objective of the study is to analyze the knowledge of physicians about the implantation of the protocol of safe surgery. Methods: A prospective, quantitative, cross-sectional exploratory descriptive study was conducted with 100 physicians from the hospital between March and April 2016, through a structured questionnaire on the knowledge of the safe surgery protocol. Data were analyzed by quantitative method using software R 3.3.0, with a value of p <0.05 considered statistically significant. Results: The questionnaire was answered by 37 orthopedists, 32 anesthesiologists, 23 surgeons and eight neurosurgeons. All professionals completed medical residency. There was no association between the specialty and the time of activity with the knowledge of the protocol. The results showed that 97% of the physicians had experienced an error, 50% marked the site to be operated on, 77% did not check the material to be used, 71% had surgery suspended after the anesthetized patient and 47% did not know the protocol. Of the doctors who answered the questionnaire, 87% know that the hospital is accredited, but only 33% know the name of the body that performed the accreditation, 76% never received training and 68% feel motivated to comply with the protocol. When evaluating the medical records it was found that 97% of them were correctly filled the protocol of safe surgery in the two months of the research. Conclusions: There is a discrepancy between the imaginary and the reality of the application of the protocol of safe surgery.

Keywords: Patient safety; Medical errors; Surgical procedures, Checklist; Operating rooms; Surgical team.