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Resumen La cancelación de cirugías programadas es un problema latente en Colombia que tiene repercusiones negativas para el paciente (física y psicológicamente), el personal de la salud (bienestar laboral, satisfacción, desempeño) y la institución (costo-eficiencia). La tasa de cancelación varía entre 2,7 - 7,6 %. La mayoría de las cancelaciones son prevenibles y ocurren por errores administrativos o de programación. En este documento se realiza una revisión sobre el estado y vacíos de conocimiento sobre este problema en Colombia, y se plantean algunos puntos para la agenda de investigación.
Summary Cancellation of scheduled surgeries is a latent problem in colombia, which encompasses negative consequences for the patient (physically and psychologically), the health care personnel (well-being, satisfaction, performance) and the institution (cost-effectiveness). The rate of cancellation varies between 2,7 - 7,6 %. Most cancellations are preventable and occur due to administrative or programming issues. In this document, we performed a review on the gaps of knowledge on this problem in colombia, and we highlighted some points for the research agenda.
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Objective To assess and evaluate attitudes and knowledge regarding ionizing radiation of urology surgery room staff. Methods A questionnaire was sent to urology surgery room personnel of 4 comprehensive hospitals in Changchun from September to October in 2016. The questionnaire included demographic questions and questions regarding radiation exposure and protection. Results In total,127 questionnaires were answered.Of them, 48.8%(62/127)were nurses,40.2%(51/127)were doctors,and 11.0%(14/127)were radiological technicians.In total,44.1%(56/127)had received specific education or training regarding the harmful effects of radiation; 89.0%(113/127)participants had some knowledge of radiation;72.4%(92/127)used lead apron and collar.For the use of radiation dose disc by radiographers, the rate was 14/14,the using rate by nurses was 33.9%(21/62),the using rate by doctors was 25.5%(13/51), the difference was statistically significant (χ2=26.732, P < 0.01); the using rate of lead screen by radiographers was 11/14, 43.5% (27/62) by nurses, and 19.6% (10/51) by doctors, the difference was statistically significant(χ2=17.949,P<0.01);10/14 technicians used the remote operating system,23.5% (12/51) doctors used a remote operating system,and 6.5%(4/62)for nurses,the difference was statistically significant (χ2=30.106, P < 0.01). Conclusions The awareness and protective measures of urology surgery room personnel about the ionizing radiation are not sufficient.However,the training,the cognition and protection ability of ionizing radiation of technical personnel are better than those of nurses and doctors. The training of ionizing radiation should be strengthened to improve the awareness of ionizing radiation among the operation room staff.
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In this study, the awareness rate from risk management was examined in the personnel of operation room and anesthesia in Shiraz Namazi hospital. For performing this study, a questionnaire which was previously designed by Zaboli et.al in Tehran Bagheiatallah Hospital was used. This study sample content was 123 persons and data relating to the individuals’ awareness rate from risk management and also demographic and job features were collected. Finding of this study showed that most participating people had a moderate awareness from risk management and awareness rate in women was more than men and by income increase people awareness increased. No significant relation was found between awareness and age, working experience and so on. Regarding lack of relation between working experience rate and type of job and age with risk management, holding some classes and training all personnel about risk management seems necessary.