Adesão do checklist cirúrgico á luz da cultura de segurança do paciente / Surgical checklist accession in light of patient safety culture / Adhesión del checklist quirúrgico a la luz de la cultura de seguridad del paciente

Objetivo: Analisar a produção científica nacional e internacional sobre a adesão de checklist cirúrgico quanto à segurança do paciente. Método: Revisão integrativa da literatura utilizando as bases de dados Scientific Eletronic Library Online (SciELO), Literatura Latino-Americana em Ciências da Saúde (LILACS), PubMed e Scopus, no período de janeiro de 2007 a julho de 2017. Resultados: Dos 32 estudos que contemplaram o objetivo deste trabalho, 53,1% foram publicados em língua portuguesa e 40,6% no ano de 2015. Entre os temas analisados, destacam-se adesão ao protocolo (40,6%), registros sobre cirurgia segura (37,5%), elaboração e implementação da lista de verificação (9,4%), percepção dos profissionais (9,4%) e importância da visita pós-operatória (3,1%). Quanto à implementação dos protocolos de cirurgia segura, 40,6% relataram sobre educação permanente e 21,9%, sobre comunicação. Conclusão: A utilização de checklist para cirurgia segura está sendo cada vez mais elucidada nos serviços de saúde, a partir da comunicação, buscando promover cuidado centrado no paciente.

Objective: To analyze the national and international scientific production on adherence to the surgical checklist regarding patient safety. Method: Integrative literature review using the following databases: Scientific Electronic Library Online (SciELO), Literatura Latino-Americana em Ciências da Saúde (LILACS), PubMed and Scopus, from January 2007 to July 2017. Results: Of the 32 studies that included the objective of this study, 53.1% were published in Portuguese, and 40.6% in the year 2015. Among the subjects analyzed, special reference is made to protocol compliance (40.6%), records on safe surgery (37.5%), preparation and implementation of the checklist (9.4%), professionals' perception (9.4%) and importance of the postoperative visit (3.1%). Regarding the implementation of safe surgery protocols, 40.6% reported on permanent education and 21.9% on communication. Conclusion: The use of checklist for safe surgery is being increasingly elucidated in health services, using communication to to promote patient-centered care.

Objetivo: Analizar la producción científica nacional e internacional sobre la adhesión de checklist quirúrgico en cuanto a la seguridad del paciente. Método: Revisión integrativa de la literatura usando las bases de datos Scientific Eletronic Library Online (SciELO), Literatura Latino-Americana em Ciências da Saúde (LILACS), PubMed y Scopus, en el período de enero de 2007 a julio de 2017. Resultados: De los 32 estudios que abarcan el objetivo de este estudio, 53,1% fueron publicados en portugués y 40,6% en 2015. Entre los temas analizados, se destacan adhesión al protocolo (40,6%), registros sobre cirugía segura (37,5%), elaboración e implementación de la lista de verificación (9,4%), percepción de los profesionales (9,4%) y importancia de la visita postoperatoria (3,1%). En cuanto a la implementación de los protocolos de cirugía segura, 40,6% relató sobre educación permanente y 21,9%, sobre comunicación. Conclusión: La utilización de checklist para cirugía segura está siendo cada vez más elucidada en los servicios de salud, a partir de la comunicación, buscando promover cuidado centrado en el paciente

The Balance Between Safety and Productivity and its Relationship with Human Factors and Safety Awareness and Communication in Aircraft Manufacturing

BACKGROUND: This paper presents the findings of a pilot research survey which assessed the degree of balance between safety and productivity, and its relationship with awareness and communication of human factors and safety rules in the aircraft manufacturing environment. METHODS: The study was carried out at two Australian aircraft manufacturing facilities where a Likert-scale questionnaire was administered to a representative sample. The research instrument included topics relevant to the safety and human factors training provided to the target workforce. The answers were processed in overall, and against demographic characteristics of the sample population. RESULTS: The workers were sufficiently aware of how human factors and safety rules influence their performance and acknowledged that supervisors had adequately communicated such topics. Safety and productivity seemed equally balanced across the sample. A preference for the former over the latter was associated with a higher awareness about human factors and safety rules, but not linked with safety communication. The size of the facility and the length and type of employment were occasionally correlated with responses to some communication and human factors topics and the equilibrium between productivity and safety. CONCLUSION: Although human factors training had been provided and sufficient bidirectional communication was present across the sample, it seems that quality and complexity factors might have influenced the effects of those safety related practices on the safety–productivity balance for specific parts of the population studied. Customization of safety training and communication to specific characteristics of employees may be necessary to achieve the desired outcomes.