NHẬN XÉT THỰC TRẠNG THỰC HÀNH AN TOÀN PHẪU THUẬT VÀ MỘT SỐ YẾU TỐ ẢNH HƯỞNG TẠI BỆNH VIỆN RĂNG HÀM MẶT TRUNG ƯƠNG HÀ NỘI NĂM 2022

Abstract

Objective: describe the situation and some factors affecting surgical safety in 2022. Method: Cross-sectional descriptive study, quantitative combined with qualitative. The period time was from May 2022 to September 2022 at National Hospital Of Odonto Stomatology. The sample size was 112 surgeries and related health staffs and documents. The study used a checklist to assess the safety level, classified according to Decision No.7482/QD-BYT. Collected data were entered using SPSS 25.0 software to analyse frequency and mean. Results: the hospital scored a safety level of 94,5/110, reaching level 4 - ensured surgical safety. There are 3 of 8 criteria obtainded total pass, 5 of 8 criteria obtained partial pass, criterion 4 has the lowest rate of surgery meet its requirements (72.3%). 54 of 67 sub-items were assessed as passing, 08 of 67 sub-items were assessed as partial pass, and 05 of 67 sub-items failed. Positive influencing factors: Medical staff have good knowledge and positive attitude about surgical safety; Medical staff with a good level of technical skills to perform safe surgeries; Medicines, chemicals, consumables, enough blood; Regulatory guidelines, procedures for safe surgical implementation are relatively complete. Negative influencing factors: Lack of training sessions on surgical safety, lack of reward and punishment mechanism.