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. 2021 Apr;56(2):218-223.
doi: 10.1055/s-0040-1701285. Epub 2020 Apr 2.

Impact of the "Mind the risk" Campaign of Sociedade Brasileira de Ortopedia e Traumatologia on Risk Perception and Use of the Surgical Checklist by Brazilian Orthopedists

Germana Lyra Bähr  1 , Geraldo da Rocha Motta Filho  1
Affiliations

Impact of the "Mind the risk" Campaign of Sociedade Brasileira de Ortopedia e Traumatologia on Risk Perception and Use of the Surgical Checklist by Brazilian Orthopedists

Germana Lyra Bähr et al. Rev Bras Ortop (Sao Paulo). 2021 Apr.

Abstract

Objective To analyze the impact of the educational actions included in the "Mind the Risk" campaign of Sociedade Brasileira de Traumatologia e Ortopedia (Brazilian Society of Traumatology and Orthopedics, SBOT, in Portuguese), to increase the perception of the risk involved in the surgical activity and the use of the surgical checklist. Methods A comparative research was performed during the 50th Brazilian Congress on Orthopedics and Traumatology (50° CBOT, in Portuguese) in November 2018, using a questionnaire similar to the one used in previous two versions. Results The number of participants was 730, corresponding to 18,7% of the total of 3,903 enrolled in the 50° CBOT. Among the participants, 542 orthopedists (74,2%) reported having experienced errors within the surgical units and 218 (29,8%) surgeries in wrong sites. In total, 624 participants (85,5%) reported marking the surgical site and 402 (55%) using the surgical checklist systematically. Conclusion In the sample studied, it was evidenced that SBOT's efforts to disseminate the World Health Organization (WHO) protocol were effective, reducing the number of orthopedists who were unaware of it from 65.3% (in 2012) to 20.7% (in 2018), and expanding its use. In 2018, 402 participants (55%) reported the systematic use of the protocol, compared with 301 (40,8%) in 2014. These data confirm the need for educational campaigns and systematic training, not only to promote behavioral change, but especially a cultural change.

Keywords: checklist; medical errors; patient safety; surgical procedures.

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Conflict of interest statement

Conflito de interesses Os autores declaram não haver conflito de interesses.

Figures

Fig. 1
Fig. 1
Surgical checklist proposed by the World health Organization (WHO) and adapted for use at our institution.
Fig. 1
Fig. 1
Lista de verificação ( checklist cirúrgico) proposta pela Organização Mundial de Saúde (OMS) e adaptada para uso em nossa instituição.
See this image and copyright information in PMC

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References

    1. American Academy of Orthopaedic Surgeons. Information statement 1015. Wrong-site surgery[acesso em 26 de março de 2013] 2003 Out. Disponível em:http://www.aaos.org/about/papers/advistmt/1015.asp
    1. Wong D, Herndon J, Canale T. An AOA critical issue. Medical errors in orthopaedics: practical pointers for prevention. J Bone Joint Surg Am. 2002;84(11):2097–2100. - PubMed
    1. Herndon J H.One more turn of the wrench J Bone Joint Surg Am 2003. t85102036–2048. - PubMed
    1. Kohn L T, Corrigan J M, Donaldson M S. Washington, DC: National Academy Press; 2000. To err is human: building a safer health system. - PubMed
    1. World Health Organization. World Alliance for Patient Safety: Forward Programme, 2008–2009[Acesso em 10 de dezembro de 2018] Disponível em:www.who.int/patientsafety/en/