Improving guideline to prevent surgical instruments loss in the operating room at Wanonniwas hospital

Abstract

Objectives : The objective was improved guideline to prevent surgical instruments loss in the operating room at Wanonniwas Hospital Materials & Method : The study was designed as the action research with cycle of PDCA process. The sample were 21 personnel who worked in the operation department of wanonniwas hospital during in the year of 2019, 15th, June – 14th, July. The process of study were 1) plan: improve guideline for check surgical instrument 2) do: used guideline in the routine 3) study about the result of implementation guideline and 4) act: solve the problem by improve checklist of surgical guideline. The instruments including: 1) the questionnaires of personal factors 2) guideline for check surgical instrument 3) Note of checklist surgical instrument 4) Note form for check number of operation type and 5) the questionnaires of satisfaction of patient about operation. The data were analyzed using descriptive statistics comprising frequency, percentage, mean and standard deviation. Result : The findings showed that majority of the respondents were female (76.4%) , aged less than 30 year (61.9% ,Max = 59, Min = 22, = 32.5, S.D. = 10.5), status single (61.9%), with education level at bachelor’s degree (66.7%), who works in the operation room mainly were nurses (42.8%) and working experience less than 10 years (85.7%, Max = 25, Min = 1, = 5.8, S.D. = 7.7). The instruments were used in the operation room 110 set including 60 major set (54.5%), 24 TR set (21.8%), 24 appendectomy set (21.8%), and 2 heppatectomy set (1.9%). The implementation used guideline to check the surgical instrument that completely and not have incidence of the surgical instrument loss. The satisfactory of surgical patient about the surgery was the level of highest ( = 4.5, S.D. = 0.5). Conclusion : The study showed the effective of the surgical instrument checklist guideline that mean surgical patients safety.