Intraoperative Nurses' Safety Practices: Its Effect on Postoperative Adverse Events among Surgical Patients undergoing General Anesthesia | ||||
| Egyptian Journal of Health Care | ||||
| Article 10, Volume 8, Issue 3, September 2017, Page 114-129 PDF (833.51 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhc.2017.44984 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Nora Fares Mohamed1; Mostafa Mostafa Rezk2; Hanaa Youssry Hashem3; Marwa Mosaad Ali1 | ||||
| 1Medical Surgical Nursing Department, Benha University | ||||
| 2General Surgery, Faculty of Medicine, Benha University | ||||
| 3Medical Surgical Nursing, Faculty of Nursing, Cairo University | ||||
| Abstract | ||||
| Improving intra operative nurses' safety practices regarding surgical patients can be achieved through assessing how patients can be harmed or experienced further adverse events as result of improper practices and errors. Therefore, the study aimed to assess the effect of intraoperative nurses' safety practices on postoperative adverse events among surgical patients undergoing general anesthesia. Convenient Sample of two different groups (19 operating room nurses who assigned for caring of intraoperative general surgical patients &78 surgical patients who had major general surgery undergoing general anesthesia and experienced adverse events in postoperative care departments) had been recruited in the study. Two tools were used to collect data (1) observational checklist (adapted by investigator), (2) global trigger tool (developed by investigator).The Results revealed that total practice score of studied nurses was unsatisfactory (78.9%) along three phases of surgery so one half of studied patients (50%) experienced surgical wound infection or sepsis as adverse event in post-operative departments. In addition, more than two thirds of studied patients (70.5%) had experienced prolonged hospitalization as result of occurrence of adverse events '' moderate level of harm'' (category F).Conclusion. When intraoperative nurses' safety practices regarding surgical patients was unsatisfactory along three phases of surgery (sign in, time out, sign out), those patients had experienced adverse events and harm in post-operative departments regardless their age, gender, type of operation, and pervious surgical and general anesthesia history. the study recommended that strict observation and evaluation of nurses` performance during their work as well as correction of poor practices is essential, the need for continuous educational programs for operating room nurses to improve their practices regarding patient safety, and establishing a data base for patients who experienced adverse events in postoperative departments is necessary | ||||
| Keywords | ||||
| Adverse events; general anesthesia; safety practices; surgical patients | ||||
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