[Effectiveness of an intervention to improve the implementation of a surgical safety check-list in a tertiary hospital].
OBJECTIVE
To determine the percentage of verification of a Surgical Safety Checklist and improvements made.


METHODS
Quasi-experimental study in 28 Clinical Management Units with surgical activity in the University Hospital Virgen del Rocio (HUVR) and University Hospital Virgen Macarena (HUVM). A situation analysis was made to estimate the completing of a Surgical Safety Checklist (SSC), after which a new system of completing the SSC was introduced as an element of improvement, which included a reusable vinyl board. Subsequently, the prevalence over two periods was calculated, to assess the effectiveness of the intervention.


RESULTS
A total 1,964 SSC were reviewed in the HUVR-HUVM in June (baseline), and in December 2013 and June 2014. A percentage completion of 65.8%, 86.2%, and 88% was obtained in the HUVR, and 70.9%, 77.2%, and 75% in the HUVM, respectively. Of these SSC, 15.1% (baseline) were completed entirely in the HUVR, increasing to 36.6% (P<.001), and 89.8% (P<.001) in the last measurement. In the HUVM, 15.6% (baseline) were fully completed, increasing to 18.3% (P=.323), and 29.4% (P=.001) in the last measurement.


CONCLUSIONS
The percentage of completion of SSC obtained is around 80%, and is similar to that reported in the literature. The re-design of the SSC procedure, including the use of a vinyl board, the designation of SSC coordinator role, and professional staff training, is effective for improve outcomes in terms of completing the SSC, and quality of the completion.
Unidad de Calidad, Hospital Universitario Virgen Macarena Virgen del Rocío de Sevilla, Nodo Rocío, Sevilla, España. Electronic address: antonia.vazquez.gonzalez.sspa@juntadeandalucia.es.
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Vázquez-González
Dirección de Enfermería, Hospital Universitario Virgen Macarena Virgen del Rocío de Sevilla, Nodo Rocío, Sevilla, España.
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Luque-Ramírez
Unidad de Calidad, Hospital Universitario Virgen Macarena Virgen del Rocío de Sevilla, Sevilla, España.
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Del Nozal-Nalda
Unidad de Calidad, Hospital Universitario Virgen Macarena Virgen del Rocío de Sevilla, Nodo Macarena, Sevilla, España.
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Barroso-Gutierrez
Unidad de Calidad, Hospital Universitario Virgen Macarena Virgen del Rocío de Sevilla, Nodo Macarena, Sevilla, España.
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Román-Fuentes
Unidad de Calidad, Hospital Universitario Virgen Macarena Virgen del Rocío de Sevilla, Nodo Macarena, Sevilla, España.
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Vilaplana-Garcia
D057189:Checklist; D006785:Hospitals, University; D006801:Humans; D011300:Preoperative Care / Q000592:standards*; D015397:Program Evaluation; D011446:Prospective Studies; D058996:Quality Improvement; D062606:Tertiary Care Centers
Patient safety; Procedimientos quirúrgicos; Seguridad del paciente; Sistema de cumplimentación; Surgical procedures; System of completing