Özet:

Objective: The study was conducted as a descriptive study in order to investigate the near-miss events that surgical team members encountered during the use of the Surgical Safety Checklist (SSC). Methods: The research was carried out between June 25, 2018 and September 7, 2018 in the surgical services and operating theaters of three public hospitals in Ankara. The sample of the study (n=387) was consisted of surgical team members working in the surgical services (n=94) andin the operating room (n=293) (anesthesiologist, nurse, surgeon, surgical technician, anesthesia technician). Data were obtained with the individual data sheet and SSC application form. Chi-square test and Mann-Whitney U test were used for statistical analysis (p<0.05). Results: As a result of the research, it was determined that 27.1% of the surgical team members working in surgical service and operating rooms did not receive training on the SSC. It was found that 72.9% of surgical team members received training on SSC and 37.0% said that there were near-miss cases and medical errors that were prevented with the use of SSC. Although 90.2% of the participants knew the near-miss definition and 37.0% encountered them, the rate of those reporting the event was determined as 7.8%. The near-miss cases most commonly encountered by the participants in the study were found to be absence of side marking in 26.0%, not removing jewelry in 23.0%, and being full of the patient (eating before surgery) in 18.0%. In addition, carelessness in 26.2%, crowd in 10.1%, and lack of information in 14.8% were reported as the causes of medical errors. Conclusion: As a result of the study, it was determined that surgical team members, especially nurses with high rates of use faced with near-miss cases during the use of SSC. Early detection of these errors will prevent the occurrence of preventable medical errors. Increasing training and making positive feedback to surgical team members will increase the use of SSC form and event notifications.

Anahtar Kelimeler: