Özlem SOYER, Meryem YAVUZ VAN GIERSBERGEN

GÜVENLİ CERRAHİ KONTROL LİSTESİNİN ETKİNLİĞİ: SİSTEMATİK İNCELEME

Öz Amaç: Güvenli Cerrahi Kontrol Listesinin etkinliğinin değerlendirildiği araştırmaların gözden geçirilmesi ve gelecekteki araştırmalara ışık tutması amacıyla gerçekleştirilmiştir. Yöntem: Tanımlayıcı çalışmada Pubmed/MEDLINE ve Cochrane Library veri tabanları üzerinden “güvenli cerrahi kontrol listesi”, “dünya sağlık örgütü güvenli cerrahi kontrol listesi”,“etkinlik” ve “etki” anahtar kelimeleri kullanıldı. Kasım 2015 öncesindeki yayınlanmış 49 makale ele alındı. Etkinlik sonuçları uyum, komplikasyon ve mortalite oranı, hasta güvenliği, ekip iletişimi, çalışan ve hasta memnuniyeti ve maliyet açısından değerlendirildi. Bulgular: Uyumun en kolay olduğu bölüm insizyon öncesiyken, en zor olduğu bölüm ise çıkış kontrolü evresidir. Listenin kullanımı sonrası komplikasyon ve mortalite oranlarında anlamlı bir düşüş bulunmaktadır. Listenin kullanımı plansız ameliyathaneye dönüşlerde, yeniden ameliyat olma oranında ve istenmeyen etkilerde azalma olurken hasta kimliğinin doğrulanmasında ve hastanın tıbbi durumunda farkındalıkta artma görüldü. Ekip iletişiminde artma ve iletişim hatalarında düşme görüldü. Çalışanlar listenin uygulanmasını %50 ile %95 oranında olumlu buldu. Ameliyathane harcamaları düştü. Hasta memnuniyeti %57.1’den %90.8’e yükseldi. Sonuçlar: Listenin kullanımı ile komplikasyon ve mortalite oranlarındaki ciddi azalma olduğu, ameliyathanede ekip çalışmasını ve iletişimi geliştirdiği, ameliyathaneden plansız geri dönüşleri azaltması, ameliyat olma oranını azaltması, hasta kimliğinin doğrulanma sıklığını arttırması ve cerrahinin istenmeyen etkilerini azaltması nedeniyle hasta güvenliğini geliştirmektedir. GCKL ekip üyeleri arasında iletişimi, işbirliğini ve hasta güvenliğini geliştiren bir araç olarak önerilmektedir.

Anahtar Kelimeler:

Etkinlik, Güvenli Cerrahi Kontrol Listesi, Hemşirelik

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