[Feasibility and relevance of safety checklist in the central operating block at the Regional Medical Center, Saint Louis, Senegal].

Autor: Diedhiou M; Service d'Anesthésie-Réanimation, Centre Hospitalier Régional de Saint Louis, Sénégal., Manyacka P; Service de Chirurgie Générale, Centre Hospitalier Régional de Saint Louis, Sénégal., Dieng M; Service d'Anesthésie-Réanimation, Centre Hospitalier Régional de Saint Louis, Sénégal., Tendeng JN; Service de Chirurgie Générale, Centre Hospitalier Régional de Saint Louis, Sénégal., Diao ML; Service de Chirurgie Générale, Centre Hospitalier Régional de Saint Louis, Sénégal., Thiam O; Service de Gynéco-obstétrique, Centre Hospitalier Régional de Saint Louis, Sénégal., Tall H; Service d'Oto-rhino Laryngologie, Centre Hospitalier Régional de Saint Louis, Sénégal., Thiam I; Service d'Urologie, Centre Hospitalier Régional de Saint Louis, Sénégal., Konaté I; Service de Chirurgie Générale, Centre Hospitalier Régional de Saint Louis, Sénégal.
Jazyk: francouzština
Zdroj: The Pan African medical journal [Pan Afr Med J] 2017 Sep 29; Vol. 28, pp. 96. Date of Electronic Publication: 2017 Sep 29 (Print Publication: 2017).
DOI: 10.11604/pamj.2017.28.96.11428
Abstrakt: Introduction: Safety checklist (CL) in the operating block is a quality tool which allows to reduce perioperative morbidity and mortality. That is one of the French National Health Authority requirements for the certification procedure of healthcare institutions. This study aimed to conduct a quantitative and qualitative evaluation of the use of this tool in the central operating block at the Regional Medical Center in Saint Louis.
Methods: A prospective evaluation of the indicators for monitoring the practical use of the checklist and the contribution to the improvement of surgical practices in the operating block at the Regional Medical Center in Saint Louis was initiated since the launch of this study in March 2016.
Results: CL utilization rate was 75%, compliance rate was 60%; information rate was 99% for the pre-induction items, 93% for the pre-incision items and 88% for the postoperative items. Only 73% of analyzed CL were filled with an effective oral communication according to the three items. CL helped to detect hardware failures and/or adverse events in 15% of cases. No patient's identification or operated side error were objectified in our study.
Conclusion: CL contributes in the development of the culture of patient's safety in the operating block and has led to the establishment of a risk mapping in the operating block. Nevertheless, while important, it shouldn't be considered a magic tool to avoid errors but integrated into the improvement in health care quality with other programs such as the reporting of adverse events and the the review of morbidity and mortality.
Databáze: MEDLINE
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