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Open in a separate window Discussion The implementation of a checklist is intended to improve the outcome of surgical care and thus the quality of care in general.
However, its introduction and sustainability is always a big challenge. Of course, the translation of a new concept into practice usually follows theory of diffusion and innovation—acquire knowledge, persuaded by utility, make a decision to adopt, determine usefulness, and then decide to continue using the innovation to full effect [ 30 ].
Sign-in period was relatively administered in a higher rate These items are important in preventing the most common errors that causes serious harm to the patient [ 31 ]. Moreover, functional pulse oximetry was attached in the majority of the cases which helps to detect desaturation at the early stage.
In Surgical tech essays, items of aspiration risk, anticipation of a difficult airway, allergic history and estimated blood loss were found unchecked in most cases, all of them could lead to loss of life [ 32 ].
In Time-out period, surgical teams Surgical tech essays expected to introduce each other by name and functional role. Nevertheless, the findings of this study showed that only The result is similar with study conducted in Thailand in which majority of the surgical team failed to introduce their name and functional role to others [ 34 ].
The reason might be explained by surgical teams were communicated and introduced themselves for a long period of time in their practical place. Moreover, people often introduce each other only during the first contact.
In this respect, many studies depicted that serious complications could occur when there are unsuccessful communication and cooperation among the surgical team members [ 35 ].
In this study finding, Sign-out period was poorly performed This is consistent with experience from the UK and Thailand hospitals [ 1434 ]. The potential causes for this period could be tightly preoccupied surgical teams nursing teams with final instrument count, processing and preparation for the next case, surgical and anesthetic teams with patient extubation, oxygen preparation in recovery room, procedure note writing and patient transfer during that procedure.
Communication errors are the most common cause of adverse events in healthcare. For instance, information does not reach the right person, or is inaccurate, or issues remain unresolved until they become critical.
In the operating theatre, this leads to mistakes, inefficient use of resources, wasted equipment, frustration, poor morale and delays [ 36 ]. This problem was in line with current study finding, as the main reason cited was uncooperativeness of surgical team while filling the checklist and lack of previous training, both of them are sources of communication error.
Literature indicates that over time, compliance of surgical staff is good but needs follow up and sustained education sessions including meetings to review and address the barriers in a comprehensive way [ 922 ].
The importance of local champions was highlighted and effective implementation was seen when senior clinicians showed good leadership skills, demonstrated how to use the checklist, and explained why it was necessary [ 37 ]. This may have impact on patient outcome and not being exemplary for other staffs.
Limitation of the study This study has some limitations. It was conducted in only one setting and in a brief period of time which comprise of relatively small sample; therefore, the results might not be applicable to other settings throughout the country.
The authors did not make direct observations during the procedure which may cause Hawthorne effect. As a result, the completeness rate was satisfactory but the overall compliance rate was suboptimal. The present study did not assess outcomes, but it is assumed that poor compliance puts patients at risk.
The checklists were used more frequently during daytime in emergency patients who took general anesthesia.
Sign-in and Time-out period were performed in satisfactory manner yet it was not performed with equal frequency in all aspects of the items. The Sign-out section was clearly seen as more difficult, and less important, to complete than other sections. The main reasons cited while utilizing the checklist were lack of previous training and uncooperative surgical teams.
Regular and appropriate implementation of checklist is used as a tool for improving team communication; strengthening teamwork and improving patient safety. On top that, to amplify consistency, the active team members should be motivated to utilize the checklist during their work practice regularly.
Moreover, conducting regular audit of checklist utilization, offering regular refreshment and multidisciplinary training to improve communication may increase the rates of compliance with the checklist. Supplementary training and attention to actual checklist use would be indicated to ensure that this valuable tool could be used more routinely.
GMG worked in the design phase of the proposal, analysis, interpretation and write up of the data. Both authors read and approved the final manuscript Acknowledgements Authors thank African partnership for patient safety APPS project for funding. Authors also thank Sr. Sofanit Tilaye for her unreserved support during data collection, critical revision and data analysis.
Compliance with ethical guidelines Competing interests The authors declare that they have no competing interests.Surgical technologist career Surgical technologists are also known as surgical technicians, scrubs or operating room technicians.
They aid in surgeries under the key eyes of registered nurses, surgeons or additional operational medical personnel. Related Documents: surgical tech Essay How Surgical Procedures Work Essay Medical Sonography Medical Assistant Medical Billing Administrative Specialist Medical Laboratory Technician Pharmacy Technician Surgical Technology SBC - Houston Campus Events There are no current events.
Surgical technology students learn the skills needed to assist in the operating room. Did You Know? Though most surgical technologists work in hospitals and clinics, some work as .
Discover the best homework help resource for SURG TECH at Rasmussen College. Find SURG TECH study guides, notes, and practice tests for Rasmussen College.
After surgery, the surgical tech applies bandages to the patient and assists in removing him or her from the operating room. They’re also a part of the team that cleans the OR after the surgery, alongside housekeeping staff and nurses. This is an important step to lower the risk of infections.
The clinical externship portion of your surgical tech education is very important. Many schools can place you in a hospital setting for your real-life training, which could give you the chance to scrub in on the widest variety of surgical cases possible.