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Etthical problems in perioperative care and their impact on patient safety
Authors: Wichsová Jana
Year: 2017
Type of publication: ostatní - článek ve sborníku
Name of source: EORNA Congress 2017 : abstracts book
Publisher name: EORNA
Page from-to: nestránkováno
Titles:
Language Name Abstract Keywords
eng Etthical problems in perioperative care and their impact on patient safety Background Perioperative teams are focused on professional and safe patient care. Despite of facts that they use a number of tools: construction arrangement of operating rooms, modern equipment and instruments, new materials, drugs and sophisticated diagnostic methods and practices based on scientific evidence, the most important tool throughout the perioperative process is just health care worker, and quality of his/ her care. Research demonstrates that poor quality care is also unethical. Purpose This study was conducted to describe practices that affect patient safety:  identify breaches of security and hygienic procedure of perioperative care  identify persons who commit these breaches  articulate the reasons for which the breaches occur  staff behaviour in relation to ethics Methods The methodology utilised for this study is an ethnographic research. The research has been undertaken as an observation of perioperative team in Teaching Hospital Motol in Prague and Karolinska University Hospital in Stockholm. The results were also compared with recommendation and standards of WHO, CDC and other institutions related to perioperative care and with ethical codes of nurses and physicians. Results The most frequent breaches of hygiene have been observed shortening the time of hand hygiene, the unnecessary opening the operating room doors, the problems with wearing surgical caps, masks and jewelry. The missing of WHO Surgical Checklist during the surgery was the most common violation of patient safety. Conclusion The health care professionals have an adequate knowledge about safe and hygienic patient care in operating room. If they break safety and hygienic policy, they also break the ethics of health care workers. Perioperative care; safety; security; patient safety; medical ethics; nursing ethic

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