The development of surgical safety checklist for surgical patient in Raj Pracha Samasai Institute

Abstract

Patient safety is the core of surgical services at all levels of healthcare facilities, as surgery carries inherent risks and potential complications. These include the risk of excessive bleeding, risks associated with anesthesia, the risk of blood clot - Deep Vein thrombosis, and medical complications influenced by the patient's age and pre-existing conditions. Patients with underlying diseases such as heart disease, hypertension, and diabetes are particularly susceptible to these complications. The purpose of this research was to develop A surgical safety checklist for surgical patients At Raj Pracha Samasai Institute (RPSI). The research design employed an action research method consisting of four phases. Phase 1: Understanding the potential problems and identifying alternative to prevent and solve issues in surgery. Phase 2: Drafting a model for checking items to ensure safety, called “AEMPAVEE MODEL”. Phase 3: Implementing the draft surgical safety checklist model. Phase 4: Evaluating the effectiveness of The model.
The target population this study included health care providers (ophthalmologists, surgeons, anesthetists, and operating room professional nurse) as well as surgical patients, totaling 26 Participants.
The research was conducted in the surgical operating room of RPSI. The research tools included In-depth interview questionnaire, non-participant observation questionnaire, satisfaction and acceptance evaluation forms, competency verification form nursing procedures guideline base and the model and data collection forms. All data collected during February - July 2024. The result of the study were as follows. (1) In this research the author studied and developed the AEMPAVEE MODEL to be used as a model for surgical safety checking items, For patients who underwent surgery at RPSI. (2) After approximately four months of using the AEMPAVEE MODEL, It was found that the surgical safety checklist effectively reduced surgical risks and prevented adverse events. There were no cases of surgery performed on the wrong person, wrong side, wrong position, or wrong prosthesis. Most notably, no infections were found in the clean surgical wound, and no misidentification of surgical location occured. In addition, analysis of data review that the total target population was highly satisfied, with the high average score of 4.88 (Mean = 4.88 SD =.32) Acceptance of the AEMPAVEE MODEL achieving an average score of 4.88 (Mean = 4.88 SD =.32) which is considered high. The research results mentioned above, recommended that AEMPAVEE MODEL should be considered for implementation in all surgical units of the Raj Pracha Samasai Institute (RPSI).  As it effectively reduce surgical risks and prevent the occurrence of adverse incidents.