Profile of care and safe surgery protocol in a cardiovascular intervention unit
DOI:
https://doi.org/10.1590/ce.v30i0.98830ptKeywords:
Health Profile, Cardiovascular Surgical Procedures, Hemodynamics, Patient Safety, Cardiovascular DiseasesAbstract
Objective: To describe the profile of care and safe surgery protocols performed in a cardiovascular intervention unit in the mid-north region of Mato Grosso, Brazil.
Method: Quantitative, cross-sectional, descriptive study conducted at a cardiovascular intervention unit. Patients aged 18 years or older treated in 2022 were included. Data were collected from medical records related to patient characteristics, procedures performed, and the Safe Surgery Checklist, and were organized into a database for descriptive statistical analysis.
Results: 1,239 patients participated. 58.76% (n=728) were men, between 50 and 69 years old (52.78%, n=654) with initial symptoms of unstable angina (34.22%, n=424). The checklist is used in all medical records, and the item with the lowest adherence rate was checking the medication in use (50.12%, n = 621).
Conclusion: The patient profiles identified in this study are consistent with those reported in the literature. Furthermore, it is necessary to implement strategies to improve actions to promote patient safety.
References
1. de Oliveira GMM, Brant LCC, Polanczyk CA, Malta DC, Biolo A, Nascimento BR, et al. Estatística Cardiovascular - Brasil 2021. Arq Bras Cardiol [Internet]. 2022 [cited 2023 May 21];118(1):115-373. Available from: https://doi.org/10.36660/abc.20211012
2. Gubolino LA, Lopes MACQ, Pedra CAC, Caramori PRA, Mangione JA, Silva SS, et al. Diretrizes da Sociedade Brasileira de Cardiologia sobre qualidade profissional e institucional, centro de treinamento e certificação profissional em hemodinâmica e cardiologia intervencionista (III Edição - 2013). Arq Bras Cardiol [Internet]. 2013 [cited 2023 Jun 02];101(6):1-58. Available from: https://www.scielo.br/j/abc/a/jWRWjNxpWNZygV6RgDcS8Wm/?lang=pt
3. Wasniewski ABR, Ricachinevsky CP, Rezende RQ, Lorentz BT, Silveira ES, Angeli VHR, et al. Adverse events in the postoperative period of cardiac surgery in a pediatric intensive care unit: the contribution of the VIS score and the RACHS-1. Crit Care Sci [Internet]. 2023 [cited 2025 Feb 22];35(4):377-385. Available from: https://doi.org/10.5935/2965-2774.20230215-en
4. Thomé ARCS, Bernardo THL, Sarmento PA, Coelho JAPM, Fedocci EMM. Checklist validation for use in safe heart surgery. Rev Gaúcha Enferm [Internet]. 2022 [cited 2025 Feb 22];43(spe):e20220025. Available from: https://doi.org/10.1590/1983-1447.2022.20220025.en
5. Organização Mundial de Sapude. Segundo desafio global para a segurança do paciente: cirurgias seguras salvam vidas (orientações para cirurgia segura da OMS) [Internet]. Rio de Janeiro: Organização Pan-Americana da Saúde; Ministério da Saúde; Agência Nacional de Vigilância Sanitária; 2009 [cited 2023 Mar 29]. 211 p. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/seguranca_paciente_cirurgias_seguras_salvam_vidas.pdf
6. Ministério da Saúde (BR). Portaria nº 2.095, de 24 de setembro de 2013. Aprova os protocolos básicos de segurança do paciente [Internet]. Brasília, DF: Ministério da Saúde; 2013 [cited 2023 Jun 2]. Available from: https://www.saude.pr.gov.br/sites/default/arquivos_restritos/files/documento/2020-05/portaria_2095_2013.pdf
7. Borchard A, Schwappach DLB, Barbir A, Bezzola P. A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery. Ann Surg [Internet]. 2012 [cited 2023 Jun 2];256(6):925-33. Available from: https://doi.org/10.1097/SLA.0b013e3182682f27
8. de Oliveira GMM, Brant LCC, Polanczyk CA, Malta DC, Biolo A, Nascimento BR, et al. Estatística Cardiovascular - Brasil 2021. Arq Bras Cardiol [Internet]. 2022 [cited 2023 Jun 2];118(1):115-373. Available from: https://doi.org/10.36660/abc.20211012
9. Santos ACP, Ambiel MLB, Ferreira EB, Rocha PRS. Vascular complications and factors related to their occurrence after percutaneous hemodynamic procedures. Rev Enferm UFSM [Internet] 2020 [cited 2024 May 4];10:e90. Available from: https://doi.org/10.5902/2179769241286
10. Arce JPS, Oliveira LG, Ferreira PEB, Eggres DA, Tanaka AKSR, Lana LD. Clinical-epidemiological profile of health users who have undergone a Percutaneous Coronary Intervention. Medicina (Ribeirão Preto, Online) [Internet]. 2022 [cited 2024 May 1];55(1):e-189515. Available from: https://doi.org/10.11606/issn.2176-7262.rmrp.2022.189515
11. Dalla Lana L, Oliveira LG, Nogueira JT, de Oliveira JLB, Tier CG, Tanaka AKSR, et al. Características clínicas de pacientes submetidos a intervenção coronária percutânea nos anos de 2014 a 2019. Rev Enferm Atual In Derme [Internet]. 2021 [cited 2023 Jun 2];95(36):e-021171. Available from: https://revistaenfermagematual.com.br/index.php/revista/article/view/1146
12. Nogueira DR, De Paula LFG, Stadtlober CP, De Moraes ACS, Koch RF, Rebelato AMS. Perfil epidemiológico dos pacientes submetidos à angioplastia por trombose/reestenose de stent em pacientes da hemodinâmica em um hospital de grande porte do norte do Paraná. Braz J Surg Clin Res [Internet]. 2024 [cited 2025 Feb 20];46(4):10-22. Available from: https://www.mastereditora.com.br/46-4
13. Setta DXB, de Almeida Jr GLG, editors. Manual de síndrome coronariana aguda [Internet]. Rio de Janeiro: Sociedade de Cardiologia do Estado do Rio de Janeiro; 2021 [cited 2024 May 3]. 95 p. Available from: https://socerj.org.br/wp-content/uploads/2021/08/Manual_Sindrome_Coronariana_Aguda_Socerj_Final_Digital_v2.pdf
14. dos Santos EA, de Carvalho BDP, Margarida MCA, de Paulo GML, Ferreira PWA, Melchior LMR. Perfil clínico epidemiológico de pacientes com Síndrome Coronariana Aguda. Rev Enferm UFJF [Internet]. 2021 [cited 2025 Feb 22];6(1):1-13. Available from: https://doi.org/10.34019/2446-5739.2020.v6.32382
15. Potratz FF. Estudo de vida real comparativo entre tratamento conservador versus invasivo em pacientes portadores de doença arterial coronariana de alto risco cardiovascular: avaliação de mortalidade e eventos cardiovasculares em 10 anos de seguimento [thesis on the Internet]. São Paulo: Instituto Dante Pazzanese de Cardiologia, Universidade de São Paulo; 2020. 60p. [cited 2025 Feb 22]. Available from: https://doi.org/10.11606/D.98.2020.tde-27072020-152712
16. Gomes RA, Gomes DSS. Atuação do enfermeiro na ocorrência do infarto com supradesnivelamento do segmento ST: uso de trombolítico. Revela - Revista Eletrônica Acadêmica Interinstitucional [Internet]. 2021 Jul [cited 2025 Feb 22];28:177-99. Available from: https://www.fals.com.br/revela/edicoesanteriores/ed28/art11_revela28_177_199.pdf
17. Fernandes PSLP, Bezerra IMP, Temer JCC, de Abreu LC. Access and rational use of hypertension medications in primary health care. Rev Bras Promoç Saúde [Internet]. 2020 [cited 2024 May 4];33:10732. Available from: https://doi.org/10.5020/18061230.2020.10732
18. Duarte JC. Cuidados de enfermagem com o curativo pós-procedimentos endovasculares - cateterismo cardíaco e angioplastia [undergraduate thesis]. Uberlândia: Faculdade de Medicina, Universidade Federal de Uberlândia; 2024 [cited 2025 Feb 20]. 41 p. Available from: https://repositorio.ufu.br/handle/123456789/43678
19. Soares TR, Lima RN. A importância da aplicação da quarta meta internacional de segurança do paciente no procedimento de cateterismo cardíaco. Revista Ibero-Americana de Humanidades, Ciências e Educação [Internet]. 2023 [cited 2024 May 4];9(8):1448-57. Available from: https://doi.org/10.51891/rease.v9i8.10874
20. Santana RF, Moraes IKN. Rastreamento de manifestações clínicas pós procedimentos
no setor de hemodinâmica. Rev. Eletrônica Acervo Saúde [Internet]. 2023 [cited 2024 May 5];23(1):e11662. Available from: https://doi.org/10.25248/reas.e11662.2023
21. Falcão AS, Rabelo PPC, dos Santos DJLC, D’Eça Junior A, Rolin ILTP, Moura NAV. | Adherence to the completion of the safe surgery checklist in ophthalmic surgeries. Rev SOBECC [Internet]. 2024 [cited 2025 Feb 20];29:E2429985. Available from: https://doi.org/10.5327/Z1414-4425202429985%20
22. Silva MP, Paludo RLR, Arruda JT. Análise sobre o conhecimento e a taxa de adesão ao checklistdecirurgia segura pela equipe multidisciplinar para prevenção de complicações cirúrgicas. Braz J Dev [Internet]. 2023 [cited 2024 May 3];9(1):1861-77. Available from: https://doi.org/10.34117/bjdv9n1-127
23. Agência Nacional de Vigilância Sanitária (BR). Resolução RDC nº 36, de 25 de julho de 2013. Institui ações para a segurança do paciente em serviços de saúde e dá outras providências [Internet]. Brasília (DF): Anvisa; 2013 [cited 2024 May 17]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2013/rdc0036_25_07_2013.html
24. Ministério da Saúde (BR). Documento de referência para o Programa Nacional de Segurança do Paciente. Brasília (DF): Ministério da Saúde; Fundação Oswaldo Cruz; Agência Nacional de Vigilância Sanitária; 2014 [cited 2024 May 5]. 40 p. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/documento_referencia_programa_nacional_seguranca.pdf
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