Prevalence of adverse events in hip and knee arthroplasties following the implementation of surgical checklists.

IF 1.5 4区医学 Q3 NURSING

Revista Latino-Americana De Enfermagem Pub Date : 2025-05-19 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7658.4557

Josemar Batista, Elaine Drehmer de Almeida Cruz

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引用次数: 0

Abstract

to identify the prevalence of adverse events in patients undergoing hip and knee arthroplasties following the implementation of surgical checklists.

an evaluative study, based on effect analysis, conducted over three periods: pre- (0- 2010) and post- intervention (I- 2013; II- 2016), with retrospective consultation of a simple random sample of 291 medical records between November 2020 and March 2022. The Canadian Adverse Events Study and Global Trigger Tool forms were used to track and confirm adverse events. Cases were analyzed using descriptive and inferential statistics; p-values ≤ 0.05 indicated significance.

in the post-implementation periods of surgical checklists, a reduction was observed in the frequency of patients affected by two or more events, from 27.8% to 11.3% (p = 0.002), and in the overall prevalence, from 63.9% to 36.1% (p < 0.001). A decrease in the prevalence of patients affected by urinary retention (33% to 3.1%; p < 0.001) and hemorrhage (9.3% to 0%; p = 0.012) was also noted. There was an increase in the prevalence of skin lesions, from 2.1% to 10.3% (p = 0.043).

there was a reduction in the overall prevalence and frequency of adverse events in patients undergoing arthroplasty following the implementation of surgical checklists.

查看原文本刊更多论文

实施手术清单后髋关节和膝关节置换术中不良事件的发生率。

在实施手术检查清单后，确定髋关节和膝关节置换术患者不良事件的发生率。一项基于效果分析的评估性研究，分三个阶段进行：干预前（0- 2010）和干预后（1 - 2013）；II- 2016)，对2020年11月至2022年3月期间291份医疗记录的简单随机样本进行回顾性咨询。使用加拿大不良事件研究和全球触发工具表格来跟踪和确认不良事件。病例分析采用描述性统计和推理统计；p值≤0.05为显著性。在实施手术检查清单后，观察到受两种或两种以上事件影响的患者频率从27.8%降至11.3% (p = 0.002)，总体患病率从63.9%降至36.1% （p < 0.001）。尿潴留患者患病率下降(33%至3.1%；P < 0.001)和出血(9.3% ~ 0%；P = 0.012)。皮肤病变的患病率从2.1%增加到10.3% （p = 0.043）。在实施手术检查清单后，接受关节置换术的患者不良事件的总体患病率和频率有所降低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista Latino-Americana De Enfermagem NURSING-

自引率

11.10%

发文量

142

期刊介绍： A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.