TUÂN THỦ QUY TRÌNH AN TOÀN TRONG PHẪU THUẬT CỦA NHÂN VIÊN Y TẾ TẠI KHOA GÂY MÊ HỒI SỨC BỆNH VIỆN QUÂN Y 6 NĂM 2022

Abstract

Background: Surgical complications do not only affect the quality of surgery, but also increase the treatment period and financial burden for both the patient and the hospital in particular and the healh sector in general. For the purpose of inspection, evaluation and supervision to ensure surgical safety, the Ministry of Health has issued Decision 7482/QD-BYT on "Quality assessment criteria for surgical safety" for medical examination and treatment centers that perform surgery to self-assess and improve surgical safety. Objectives: The study was carried out to describe compliance with safety procedures for surgery of medical staffs at the Department of Anesthesia and Resuscitation of Military Medical Hospital 6, 2022. Subjects and research methodology:  The study was designed as cross-sectional descriptive and conducted from July 2022 to October 2022; the data collection period was from July 2022 to September 2022. The sample size of the study was 225 surgical cases performed at the Anesthesia and Resuscitation Department of Military Medical Hospital 6. The data were entered and processed using Epidata 3.1 and SPSS 20.0 software. Results and Csonclusions: Based on the shortened scale from the surgical safety assessment criteria set, the average score of the assessment of compliance with safety procedures in surgery at the Anesthesiology and Resuscitation Department of Military Medical Hospital 6 was 4.51 ± 0.267 points. All 8 evaluation criteria had an average score greater than 4.0 which is ranked as high compliance (> 3.67). The rate of compliance with safety procedures in surgery in 8 criteria was 90.11%. Our study also showed different results on the degree of compliance to surgical safety for different groups of medical staffs: the group of anesthesiologists/ physicians had the highest average compliance score with 4.52 points (standard deviation 0.274); the group of nurses/medical technicians with 4.51 points (standard deviation 0.290); the group of surgical doctors with the lowest average score of 4.50 points (standard deviation 0.288). There were differences in the seniority of the nurse/medical technicians and in the average scores of the surgicall safety practice assessment results (p=0.012).