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Improvement of the patient?s safety in intraoperative nursing care.
LEŠTINOVÁ, Terezie
Abstract - Improvement of the patient?s safety in intraoperative nursing care Every activity brings about a certain rate of risk in contemporaneous healthcare facilities. Every nurse has to ensure patient?s safety. Successful management of this task requires a good overview of the patients to whom the care is provided, and of the risks which could endanger the patients, cause them harms or worsen their health condition. The present Bachelor?s Dissertation focused on the topic: ?Improvement of the patient?s safety in intraoperative nursing care?, follows two objectives. The first one is to map the most frequent risks of undesirable events which threaten to the patient during the intraoperative nursing care; the other one is to assess the rate of risk of undesirable events in the intraoperative nursing care. In accordance with the proposed objectives, two hypotheses were stated: H1: The most frequent risk of an undesirable event that threatens to a patient during the operative intervention is burn; and H2: Confusion of the patient?s identity in the intraoperative nursing care achieves the highest risk rate. The Dissertation was drawn up with the help of quantitative research investigation. The data collection method used was based on a survey where a questionnaire approach was applied. The questionnaire was non-standardised and included 21 items. The research dataset was formed of 54 perioperative nurses working in operating theatres of Nemocnice České Budějovice a.s. It implied from the research investigation that the most frequent undesirable events that threaten to patients during intraoperative nursing care are, from the viewpoint of perioperative nurses, allergies to medicine, to disinfection (3.47), sore galls (3,35) and early infection in the wound (2,90). Patient?s burn caused by a neutral electrode (1.98) was on the fifth place of undesirable events. The first hypothesis ?The most frequent risk of an undesirable event that threatens to a patient during the operative intervention is burn? was not confirmed. The undesirable events leading to the most serious consequences in the field of patient?s health condition include confusion of the patient?s identity (4.88), fire arising due to contacts of the coagulation instrument and alcohol disinfection (4.83) and confusion of the side to be operated on (4.80). Through the subsequent evaluation of the results of the questionnaire survey it was found out that the highest rate of risk in the intraoperative nursing care is achieved by confusion of the patient?s identity (3.90), confusion of the side to be operated on (3,85), fire arising due to contacts of the coagulation instrument and alcohol disinfection (3.84). The second hypothesis ?Confusion of the patient?s identity in the intraoperative nursing care achieves the highest risk rate?, was confirmed. The deliverable of the Dissertation is a proposal for safety mechanisms in the field of prevention of confusions of the patient?s identity and of the side to be operated on, as well as basic principles for safe application of the neutral electrode.
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