Surgical complications as indicator of a quality care in surgical wards.
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| Rok publikování | 2014 |
| Druh | Konferenční abstrakty |
| Fakulta / Pracoviště MU | |
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| Popis | Aim Determine the surgical some surgical complications in four surgical wards affecting quality of health care. Introduction Around the world, complications of surgical care have become a major cause of death and disability worldwide. Data from 56 countries showed that in 2004 the annual volume of major surgery was an estimated 187–281 million operations, or approximately one operation annually for every 25 human beings alive1. In industrialized countries the rate of major complications has been documented to occur in 3–22% of inpatient surgical procedures, and the death rate 0.4–0.8% 2,3. Nearly half the adverse events in these studies were determined to be preventable. Adverse events have been estimated to affect 3–16% of all hospitalized patients, and more than half of such events are known to be preventable 4,5. Surgical safety has therefore emerged as a significant global public health concern. Worldwide evidence of substantial public health harm due to inadequate patient safety, the World Health Assembly (WHA) in 2002 adopted a resolution (WHA55.18) urging countries to strengthen the safety of health care and monitoring systems1 . For this reason, WHO developed the Guidelines for Safe Surgery in 20096. In order to minimize unnecessary loss of life and serious complications, operating teams have 10 basic, essential objectives in any surgical case, which the WHO safe surgery guidelines support. 1. The team will operate on the correct patient at the correct site. 2. The team will use methods known to prevent harm from administration of anaesthetics, while protecting the patient from pain. 3. The team will recognize and effectively prepare for life threatening loss of airway or respiratory function. 4. The team will recognize and effectively prepare for risk of high blood loss. 5. The team will avoid inducing an allergic or adverse drug reaction for which the patient is known to be at significant risk. 6. The team will consistently use methods known to minimize the risk for surgical site infection. 7. The team will prevent inadvertent retention of instruments and sponges in surgical wounds. 8. The team will secure and accurately identify all surgical specimens. 9. The team will effectively communicate and exchange critical information for the safe conduct of the operation. 10. Hospitals and public health systems will establish routine surveillance of surgical capacity, volume and results. Problems associated with surgical safety are well recognized in developed and developing countries alike. In the developing world, the poor state of infrastructure and equipment, unreliable supplies and quality of medications, shortcomings in organizational management and infection control, difficulties in the supply and training of staff. |