Kartlegging av prosedyrer for oppdekking av instrumentbord ved kirurgiske inngrep
Sammanfattning
Background: During a surgical intervention, the patient and the surgical team are placed in a situation of calculated risk. Safe teamwork, work processes that follow quality-assured procedures and use of safety equipment may reduce the incidence of complications and injuries.
Objective: The objective of the study was to help achieve best practice and avoid adverse events associated with the set-up and organisation of instruments in the sterile field. We therefore identified the current status in Norwegian surgical departments and investigated correlations with the functional level of the hospital.
Method: We used an online survey. The mapping study was undertaken in 16 hospitals and included all health regions and hospitals at all functional levels.
Results: All the surgical departments used procedure cards, tray lists, counting procedures and procedures for dealing with sharps injury. Written procedures describing set-up of the instruments in the sterile field were used in four hospitals. Hospitals that provide national or multi-regional services rely on procedures to the greatest extent.
Conclusion: The results point to a correlation between the hospitals’ service profile and deficiencies when it comes to procedures for the set-up of instruments in the sterile field. We recommend that evidence-based guidelines and procedures be established. Furthermore, we recommend that the evidence base for set-up of instruments in the sterile field be examined.