ABSTRACT
Objectives: the surgical safety checklist (SSC) is a document that is intended to increase patient safety in the operating theater by eliminating avoidable errors. The original document has been published in English by the WHO which recommends its obligatory use. The document's name is often distorted when translated into European languages, for instance into the "surgical control list". This article aims to assess the consequences of the distortion of the originally intended meaning for the completion of SSC in the operating theater. Methods: we compared the exactness of the meaning of translation in 29 European languages based on Google translator. Particular attention was paid to the presence of essential words such as "checklist" and "safety" in the translation. Results: we found that in 15 out of the 29 languages, the translation of these two words was incorrect, particularly in Slavic languages. The most often mistranslation was the "control card" or "control list", which was a misnomer. Conclusions: the translation of the SSC name into native languages is inadequate in about one-half of the cases, which may jeopardize its proper use by team members of the operating theater, and thus the patient perioperative safety.
Objetivo: a lista de verificação de segurança cirúrgica (SSC) é um documento que visa aumentar a segurança do paciente no centro cirúrgico, eliminando possíveis erros. O documento original foi publicado em inglês pela OMS que recomenda seu uso obrigatório. O nome do documento é frequentemente distorcido quando traduzido para idiomas europeus, por exemplo, na "lista de controle cirúrgico". Este artigo visa avaliar as consequências da distorção do significado originalmente pretendido para a realização do SSC na sala de cirurgia. Métodos: para isso, comparamos a exatidão do significado da tradução em 29 idiomas europeus com base no tradutor do Google. Atenção especial foi dada para a presença de palavras essenciais como "lista de verificação" e "segurança" na tradução. Resultados: descobrimos que em 15 dos 29 idiomas, a tradução dessas duas palavras estava incorreta, principalmente em idiomas eslavos. A tradução incorreta mais frequente era o "cartão de controle" ou "lista de controle", o que era um equívoco. Conclusão: a tradução do nome do SSC para as línguas nativas é inadequada em cerca de metade dos casos, o que pode comprometer seu uso adequado pelos membros da equipe de centro cirúrgico e, portanto, a segurança perioperatória do paciente.
Subject(s)
General Surgery , Surgicenters , Patient Safety , Time Out, HealthcareABSTRACT
OBJECTIVE To establish an optimal management procedure in order to minimize the nosocomial infection in a laminar airflow(LAF) operating theater.METHODS A comprehensive control strategy was taken to make the work-flow sequentially and effectively in the LAF operating theater.This strategy included reasonable architectural layout required for the strict standard of an LAF operating theater,daily environmental management and idealistic traffic patterns that limited the movement of personnel and supplies.RESULTS This strategy greatly improved the nosocomial infection management and effectively reduced the rate of nosocomial infection.CONCLUSIONS The good design with standard of the LAF operating theater should be firstly emphasized.A series of feasible and manageable measures must be carried out to optimize the nosocomial infection control in the LAF operating theater.
ABSTRACT
It is recognized that there may be numerous medical hazards associated with the maintenance of relative humidity below 50 percent. These include the danger of producing hypothermia in patients, especially during long operative procedures; the fact that floating particulate matter increased in conditions of low relative humidity, and the fact that the incidence of wound infections is minimized following procedures performed in those operating rooms in which the relative humidity is maintained at the level of 50 to 55 percent. So, we have checked room temperature and relative humidity of operating theater in Hanyang University Hospital during 1 year from January, 1991. The results were as following; 1) Room temperature wae maintained at the level of 23.6+/-0.8 to 27.7+/-1.3 degrees C, and it was somewhat lower in shadowy rooms than in sunny ones. 2) Relative humidity was highest level in July, and it was maintaiaed at the level of 41.7+/-4.9 to 47.0+/-7.7%. Generally, it was decreased unsignificantly in order of ICU, recovery room, newbuilt shadowy rooms, old shadowy rooms, and sunny rooms. 3) Relative humidity was significantly decreased to 2.4+/-3.8-28.9+/-5.0% in spring, autumn, and winter. 4) Absolute humidity was maintained at the level of 11.6+/-1.7 mgH2O/L in summer, and l.l+/-1.4 mgH2O/L in winter. With above results, we recognized that room temperature of operating theater was maintained at the level of recommending degree, but relative humidity(percent) was too low to be suitable for operation and/or special patient care. This means that ventilation of operating theatre should be installed with proper temperature and relative humidity controlled units.
Subject(s)
Humans , Humidity , Hypothermia , Incidence , Intensive Care Units , Critical Care , Operating Rooms , Particulate Matter , Patient Care , Recovery Room , Surgical Procedures, Operative , Ventilation , Wound InfectionABSTRACT
Sudden death is the sudden and unexpected cessation of respiration and functional circulgion. The term "sudden death" is synonymous with cardiopulmonary arrest or heart-lung arrest. Sudden death in the operating theater could be better called mishaps because human errors are believed to be a factor in a large number of sudden deaths which can be preventable. This study was undertaken to analyze the patients who had sudden death and to examine the element of errors. We had 35 cases of cardiac arrest out of 51,798 patients who received general anesthesia in our institution from 1987 to 1992. The 35 cases were classified according to the age, sex, ASA status, incidence, death, causes and outcome etc. The results are as follows; 1) The incidence of cardiac arrest was 0.008 percent. 2) 23 percent of cardiac arrest was encountered in the fifty-one to sixty age group. 3) There was no significant difference between the sexes. 4) Incidence of cardiac arrest increased as the ASA physical status increased, with the majority being observed in classes III and IV E. Increasing incidence of cardiac arrest was encountered in poor physical status. 5) Etiological factors in cardiac arrest were severe bleeding, excessively high concentration of inhalation anesthetics, respiratory failure, difficult intubation, accidental extubation, hidden CNS lesion, hypoxemia, airway kinking, esophageal intubation and volume overload. 6) The incidences of death were 46 percent in the operating theater and 14 percent postoperatively.