Informatizzazione della checklist per la sicurezza in sala operatoria e i risultati raggiunti presso l'Istituto Ortopedico Rizzoli di Bologna

Autori

  • Maurizia Rolli Direzione Sanitaria, IRCCS Istituto Ortopedico Rizzoli, Bologna
  • Elisa Porcu Ufficio Risk Management, Direzione Sanitaria, IRCCS Istituto Ortopedico Rizzoli, Bologna
  • Patrizio Di Denia Ufficio Risk Management, Direzione Sanitaria, IRCCS Istituto Ortopedico Rizzoli, Bologna
  • Annella Mingazzini Servizio di Assistenza infermieristica, tecnica e della riabilitazione, IRCCS Istituto Ortopedico Rizzoli, Bologna
  • Luca Bianciardi Direttore Sanitario, IRCCS Istituto Ortopedico Rizzoli, Bologna

DOI:

https://doi.org/10.7175/pmeal.v10i3.1276

Parole chiave:

Patient safety, Clinical risk management, Safe surgery, Checklist

Abstract

[Computerization of the checklist in the operating room safety and the results achieved at the Rizzoli Orthopaedic Institute in Bologna]

 

Since 2010, the Rizzoli Orthopaedic Institute in Bologna has joined the project of the Emilia-Romagna «Project SOS.net: Network operating theaters safe», adopting the surgical safety checklist regional in hard copy from three surgical units.

Over the years, the adoption of the checklist has been extended to all surgical units, thanks to the computerization of the same: at the Institute had in fact been initiated a process of computerization of operating rooms, which also included the introduction/editing tools for the management of clinical risk in the operating room. This change has allowed not only to integrate computationally the moment of verification, by means of the surgical safety checklist regional, with the detection of deviations from the expected standard but also to be able to have specific reporting in real time.

These implementations have been accompanied by appropriate training and organizational interventions, bringing the level of adherence to the instrument until it reaches almost 100%.

 

Riferimenti bibliografici

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Ministero del Lavoro, della Salute e delle Politiche Sociali. Manuale per la sicurezza in sala operatoria: raccomandazioni e checklist. Ottobre 2009. Disponibile online su http://www.salute.gov.it/imgs/c_17_pubblicazioni_1119_allegato.pdf (ultimo accesso novembre 2016)

Park KW, Smaltz D, McFadden D, et al. The operating room dashboard. J Surg Res 2010; 164: 294-300. doi: 10.1016/j.jss.2009.09.011

Weiser TG, Haynes AB, Dzieken G, et al; Safe Surgery Save Lives Investigators and Study Group. Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Ann Surg 2010; 251: 976-80. doi:10.1097/SLA.0b013e3181d970e3

Pubblicato

2016-11-29

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