Development of a surgical Item counting practice guideline for patient undergoing major surgery in the operating department
Keywords:
practical guidelines, surgical items count, major surgeryAbstract
The potential post-surgical complication is retained surgical items. The present study applied the concept of the development of clinical practice guidelines of the Australian National Health and Medical Research Council (National Health and Medical Research Council: NHMRC, 1998). It sought to develop a clinical practice guideline (CPG) of counting surgical items for patients undergoing major surgery as well as to measure implementation outcomes. Purposive sampling method was employed to select three groups of the sample, including 27 nurses, nine doctors and 21 patients undergoing major surgery at a tertiary hospital in the northeastern region of Thailand. This research was conducted for the period of 9 months from October 2017 to June 2018. The instruments used to collect the data were the CPG feasibility evaluation form, the survey on surgical count problems, the report of risks of retained foreign objects inpatients, the incident report of remaining surgical instruments and sharps mixed in with soiled drapes, and the satisfaction questionnaire. The collected data were analyzed using descriptive statistics. The results showed that counting surgical items was 99.64% feasible. In respect of nurses’ and doctors’ overall satisfaction towards CPG, it was found that satisfaction among nurse participants were at highest level, while doctors expressed satisfaction at high level. After the implementation, the incidence of retained surgical items in patient’s body was zero. Numbers of surgical instruments and sharps mixed in soiled drapes at the laundry department in 2015, 2016, and 2017 were 31, 34, and 40 pieces, respectively
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