Abstract

THE PRACTICE OF POST-ANESTHETIC VISIT BY ANESTHETISTS AT HOSPITAL SUS WITH ACCREDITATION. QUESTIONNAIRE-BASED STUDY

Luiz Eduardo Imbelloni*, Álvaro da Silva Oliveira Junior, Eduardo Piccinini Viana, Jaime Weslei Sakamoto, André Augusto de Araujo and Geraldo Borges de Morais Filho

ABSTRACT

Background: Safety is one of the fundamental criteria for ensuring the quality of patient care. In a survey conducted by the WHO with data from 56 countries, resulting in two million deaths and seven million complications, half of which were considered preventable. The objective of the study is to analyze the knowledge of anesthesiologist about the implantation of the protocol of safe surgery in Brazilian public health care system Hospital. Methods: A prospective, quantitative, cross-sectional exploratory descriptive study was conducted with 50 anesthesiologists from the hospital between July and August 2019, through a structured questionnaire on the knowledge of the safe surgery protocol. Data were analyzed descriptively by the quantitative method using the R 4.1.0 software. Results: The questionnaire was answered by 35 anesthesiologists and 15 anesthesiologist’s residents. Of the total, 64% knew the safe surgery protocol. The results showed that 98% of the physicians had experienced an error, 76% marked the site to be operated on, 98% check the material to be used, 98% had surgery suspended after the anesthetized patient and 34% did not know the protocol. Of the anesthesiologists who answered the questionnaire, 98% know that the hospital is accredited, but only 52% know the name of the body that performed the accreditation, 76% never received training and 58% feel motivated to comply with the protocol. Only 24% report incidents. Conclusions: The practice of post-anesthetic visits was very low, as the high work demand and lack of organization of hospitals in post-anesthetic care are some of the obstacles faced by professionals. We believe that there is a difference between the imaginary and the reality in completing the protocols for safe surgery, requiring everyone to have adequate training.

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