Lege Artis Medicinae

[Use of surgical checklists to improve the patient safety]

BENEDEK Zsófia, MOLNÁR-GALLATZ Zsolt

JUNE 01, 2015

Lege Artis Medicinae - 2015;25(04-05)

[In the millennium working groups were formed in several countries to create and implement control- or checklists to reduce the mortality rate and complications during surgical care. The research revealed that the use of checklists improved patient safety, reduced mortality and complication rate, and several additional positive effects were identified. The checklists improved teamwork and the communication in the surgery team. The starting financial and time costs of using checklist are low, and the maintaining costs are minimal. On the other hand, checklists result significant financial savings. These savings primarily are the costs of malpractice lawsuits and the costs of treatment complications. To ensure patient safety multiple checklists were developed. By the literature data three checklists are the most detailed and widely used: the World Health Organiza­tion’s checklist, the Universal Protocol and the Surgical Patient Safety System. Common characteristics are that they significantly reduce the complications and the mortality rate, improve patient safety, teamwork and communication. The main differences are in the using and timing. In this publication we present the most typical and used checklists, their advantages and possible disadvantages, and finally we give an overview of the examples of the Hungarian experience.]

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[OBJECTIVES - The aim of our study is to analyse the institutional long term social care of elderly in Hungary. DATA AND METHODS - Data were derived from the following sources: Social Sector Information System, Regional Development and Planning Information System, and the Hungarian Central Statistical Office. The analysis covered the period 2001-2012. We analysed the number of operating beds in residential social institutions (pieces) and number of residents (clients) in residential social institutions. RESULTS - Between 2001-2012 the number of available operating beds in residential social institutions increased by 28.56%, from 42658 to 54840. The number of residents (clients) in residential social institutions increased between 2001-2005 by 3% annually, while since 2007 the rate of growth decreased due to the capacity regulation. The bed occupancy rate was 97.51% in 2001, and then between 2002 and 2007 it stabilized between 96.26%-96.87%. In 2008 it decreased to 93.44%, then after a continuous increase it exceeded the 95%. CONCLUSIONS - During the survey period, the bed capacities and the number of clients in residential social institutions showed an increasing tendency under high occupancy rate.]

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