Protocolo de cirurgia segura: proposta para um hospital universitário.

Abstract

In the last decades, patient safety has been the focus of attention of professionals, institutions and organizations in the health area, being defined as the absence of damages or accidental injuries during the provision of health care. In 2013, the Brazilian Ministry of Health, in conjunction with the National Health Surveillance Agency and Fiocruz Co., implemented the Protocol for Safe Surgery, based on the World Health Organization's Surgical Safety Checklist, which aims at quality surgical care and minimizing the risk of unnecessary harm associated with care. The purpose of this study is to elaborate a proposal for a Safe Surgery Protocol for the Surgical Center of the Julio Bandeira University Hospital, at Federal University of Campina Grande. For the development of this research, the exploratory, bibliographic and documentary research modality on the subject was adopted. The research was developed from the search for the protocols of safe surgery of reference hospitals in Brazil and the protocol of the Brazilian Ministry of Health; and from the theoretical basis, started to elaborate a proposal of the protocol of the Julio Bandeira University Hospital. This protocol constitutes the registry of essential information for a surgical procedure of excellence, since it establishes preventive norms to minimize the adverse events, incidents and damages that may have occurred as a result of the surgeries. The proposal of the Safe Surgery Protocol evidenced the elaboration of the Surgical Safety Checklist, the chart of application of the list, the free informed consent term and the patient's refusal term, as well as instruction for demarcation of laterality in the surgical procedures. Therefore, this proposal of protocol was elaborated according to the particularities of the institution and must be worked with all the members of the health team who will process it, so that they can guarantee its execution in an integral way, where the whole team must be engaged in order to ensure its functionality.