The importance of a preoperative surgical strategy meeting for good patient outcomes
Purpose: Interest in measures to surgical quality improvement is increasing with increased awareness of iatrogenic injuries. These injuries can be prevented by an improved organisational safety habit. We implemented preoperative surgical strategy meeting chart in the clinical and operational basis i...
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| Published in: | Pamukkale Medical Journal Vol. 15; no. 4; pp. 694 - 701 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Journal Article |
| Language: | English Turkish |
| Published: |
Pamukkale Üniversitesi
10-01-2022
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| Subjects: | |
| Online Access: | Get full text |
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| Abstract | Purpose: Interest in measures to surgical quality improvement is increasing with increased awareness of
iatrogenic injuries. These injuries can be prevented by an improved organisational safety habit. We implemented
preoperative surgical strategy meeting chart in the clinical and operational basis in our hospital to improve
postoperative outcomes.
This study was conducted as comparement of outcomes of patients with and without implementation of
preoperative surgical strategy meeting forms.
Material and methods: Data including the demographic characteristics of patients, procedural data, and data
of preoperative surgical strategy meeting were recorded retrospectively. Patients were divided into two groups
according to the preoperative surgical strategy meeting chart application status. Group 1 included the patients
with provided PSSM and group 2 included the remaining patients. Data related with surgical procedure and
patients’ outcomes were compared between these groups.
Results: One hundred and forty patients were enrolled in this study. The mean age of the patients was 45.28±17
years. The female to male ratio was 62:78. Patients were grouped according to the application status of PSSM.
There was no statistically significant difference in the mean age, sex, operation type (emergent or elective) and
conversion to open surgery rates. In Group 2 being ready of patient file in the operating theatre preoperatively
was statistically significantly low when compared to Group 1 (p=0.021). Operation time was detected statistically
significant short for patients in Group 1 (p<0.001).
Conclusion: Integrating this behavioural intervention into the clinical routine demonstrated the improvements
in patient outcomes and adherence to the safety process. |
|---|---|
| AbstractList | Purpose: Interest in measures to surgical quality improvement is increasing with increased awareness of
iatrogenic injuries. These injuries can be prevented by an improved organisational safety habit. We implemented
preoperative surgical strategy meeting chart in the clinical and operational basis in our hospital to improve
postoperative outcomes.
This study was conducted as comparement of outcomes of patients with and without implementation of
preoperative surgical strategy meeting forms.
Material and methods: Data including the demographic characteristics of patients, procedural data, and data
of preoperative surgical strategy meeting were recorded retrospectively. Patients were divided into two groups
according to the preoperative surgical strategy meeting chart application status. Group 1 included the patients
with provided PSSM and group 2 included the remaining patients. Data related with surgical procedure and
patients’ outcomes were compared between these groups.
Results: One hundred and forty patients were enrolled in this study. The mean age of the patients was 45.28±17
years. The female to male ratio was 62:78. Patients were grouped according to the application status of PSSM.
There was no statistically significant difference in the mean age, sex, operation type (emergent or elective) and
conversion to open surgery rates. In Group 2 being ready of patient file in the operating theatre preoperatively
was statistically significantly low when compared to Group 1 (p=0.021). Operation time was detected statistically
significant short for patients in Group 1 (p<0.001).
Conclusion: Integrating this behavioural intervention into the clinical routine demonstrated the improvements
in patient outcomes and adherence to the safety process. |
| Abstract_FL | Amaç: İyatrojenik yaralanmalar konusunda farkındalık arttıkça, cerrahi kalite gelişimi konusunda ilgi artmaktadır.
Bu yaralanmalar artan organizasyonel güvenlik kültürü ile önlenebilmektedir. Hastanemizde, ameliyat sonrası
sonuçlanımları geliştirmek için klinik ve ameliyathanede cerrahi strateji toplantısı şablonu oluşturulmuştur.
Bu çalışmada ameliyat öncesi cerrahi strateji toplantısı şablonu uygulanan ve uygulanmayan hastaları
karşılaştırmak için düzenlenmiştir.
Gereç ve yöntem: Hastaların demografik verileri, ameliyat verileri ve ameliyat öncesi cerrahi strateji toplantısı
verileri retrospektif olarak toplandı. Hastalar ameliyat öncesi cerrahi strateji toplantısı şablonu (PSSM) uygulama
durumuna göre iki gruba ayrıldı. Grup 1’deki PSSM’si olan hastaları, grup 2 diğer hastaları içermektedir. İki
gruptaki cerrahi prosedürle ilgili veriler ve hastaların sonuçları karşılaştırılmıştır.
Bulgular: Çalışmaya 140 hasta dahil edilmiştir. Hastaların ortalama yaşı 45,28±17 idi. Çalışmaya katılan
hastaların kadın erkek oranı 62:78 idi. Hastalar PSSM’nin uygulanma statüsüne göre gruplandılar. Ortanca yaş
(p=0,966), cinsiyet (p=1), ameliyat tipi (acil veya elektif p=0,323) ve açık cerrahiye geçme oranları (p=0,295)
arasında istatistiksel olarak farklılık saptanmadı. Grup 2’de hastaların dosyalarının ameliyathanede ameliyat
öncesi hazır bulunma oranı Grup 1’e oranlar istatistiksel olarka anlamlı derecede düşüktü (p=0,021). Grup
1’deki hastaların ameliyat süreleri istatistiksel olarak anlamlı derecede kısaydı (p<0,001). Sonuç: Bu davranışsal girişimin klinikte rutin olarak uygulanması hasta sonuçlarında iyileşme, güvenlik
prosedürlerin uyumu arttırmaktadır. |
| Author | Ömeroğlu,Sinan Bozkurt,Emre Özata,İbrahim Halil Kaya,Cemal Tanal,Mert Özoran,Emre |
| AuthorAffiliation | Genel Cerrahi Kliniği Genel Cerrahi Anabilim Dalı Genel Cerrahi Bölümü |
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| Issue | 4 |
| Keywords | surgical meeting iyatrojenik yaralanma safe surgery quality improvement Iatrogenic injury Checklist Kontrol listesi kalite iyileştirme strateji toplantısı güvenli cerrahi |
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iatrogenic injuries. These injuries can be prevented by... |
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| Title | The importance of a preoperative surgical strategy meeting for good patient outcomes |
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