Table 2 Mean and Standard Deviation for MISSCARE Survey-OR, (n = 341)
MISSCARE Survey-OR | Mean ± SD |
|---|---|
Legal requirements | 3.08 ± 0.56 |
1. The patient’s identity is confirmed by the nurse using at least two unique identifiers | 3.30 ± 0.85 |
2. The patient or patient’s legal custodian is requested by the nurse to confirm the surgical procedure | 3.11 ± 0.93 |
3. The nurse ensures that the surgical consent is signed, dated, and witnessed before surgery | 2.76 ± 0.96 |
4. The nurse confirms with the patient or patient’s legal custodian that the right procedure is on the consent | 3.04 ± 0.98 |
5. Marking the correct surgical site by surgeon is verified by the nurse | 3.12 ± 1.03 |
6. The nurse confirms that history and physical examinations is fulfilled and dated before surgery | 3.13 ± 1.00 |
Preparation | 2.99 ± 0.44 |
7. The nurse document patient’ allergies and reported it to the surgical team | 3.50 ± 1.03 |
8. The nurse reports abnormal laboratory findings to the anesthesiologists | 2.88 ± 1.12 |
9. The nurse reports patient’ latex allergy to surgical team | 2.98 ± 1.01 |
10. The patient’s and legal custodian’s inquiries regarding surgery are met by the surgeon and the nurse | 3.08 ± 1.04 |
11. The patient is provided by comfort measures | 3.26 ± 0.97 |
12. Implantable devices are identified and reported to the surgical team | 2.62 ± 0.91 |
13. Patients with infectious diseases are isolated using universal isolation precautions | 3.00 ± 1.04 |
14. Blood and blood components required are prepared before surgery | 2.36 ± 0.95 |
15. Prophylactic antibiotics are prescribed and administered to the patient before surgery if indicated | 2.56 ± 0.78 |
16. Application of sequential compression devices is done before the beginning of surgery, if applicable | 3.37 ± 0.99 |
17. Complete handover occurs among team members before transferring the patient to the OR | 3.31 ± 1.07 |
Safety | 2.74 ± 0.43 |
18. Transferring patient to and from the OR bed occurs without injury | 2.61 ± 0.98 |
19. Positioning of patient is done in a manner that prevent potential complications | 2.79 ± 1.01 |
20. Surgical team confirms patient, consent, procedure, site, and side before incision | 3.11 ± 1.02 |
21. When the monopolar electro surgery is used, a single-use dispersive electrode is applied | 3.36 ± 1.11 |
22. Monitoring the surgical field for breaks in aseptic technique is done | 2.39 ± 0.77 |
23. Count differences are notified to the surgical team | 2.18 ± 0.8 |
Communication | 3.19 ± 0.54 |
24. All activities are stopped during the surgical time out | 3.15 ± 1.01 |
25. Surgical time out occurs in the OR with the participation of all members of surgical team | 3.53 ± 1.05 |
26. Team members’ quires or concerns are addressed before the incision is made | 2.95 ± 1.13 |
27. The team waits three minutes for dryness of alcohol-based antiseptic solutions used for skin preparation | 3.06 ± 1.20 |
28. Hand overs occurs using standardized endorsement tool | 3.48 ± 1.17 |
29. Essential information is handed over among surgical professionals at the times of breaks, lunch, shift changes | 2.97 ± 1.18 |
Closing routine | 2.43 ± 0.60 |
30. Surgical counts are confirmed as correct during closing | 2.47 ± 1.03 |
31. The nurse verifies and labels all specimens correctly | 2.50 ± 1.08 |
32. The nurse send specimens to the laboratory | 2.32 ± 0.98 |
MISSCARE Survey-OR | 2.96 ± 035 |