25 Round Table: Patient safety: More support from guidelines RT01 Patient positioning in orthopaedic surgery. Responsibilities of the perioperative nurse I. Stefanidis1, A. Davrani2 1Ippokratio General Hospital, Operating Theater, Thessaloniki, Greece, 2AHEPA University General Hospital, Thessaloniki, Greece Introduction: Positioning for orthopaedic procedures on the OR table require ensuring patient’s safety, comfort and dignity. Positioning the patient is a shared responsibility among the surgeon, the anaesthesiologist, and the nurses in the operating room. Orthopaedic surgery often requires unorthodox methods of positioning patients. Each patient requires unique positioning based on the type of orthopaedic surgery. Ideal patient positioning involves balancing surgical comfort, against the risks related to the patient position. Aim: The aim of this study was to determine involvement of the perioperative nurses in patient positioning and whether have the appropriate knowledge to do so and secondary to clarify the opinion of orthopaedic surgeons about the process of patient positioning. Methods: Two questionnaires regarding patient positioning were distributed, one for perioperative nurses and the other for orthopaedic surgeons. The sample size of this research included 108 operating room nurses and 142 orthopaedic surgeons. For the data analysis, the statistical package SPSS v.22 was utilized. To evaluate the internal consistency, Cronbach’s alpha was computed. Results: 76% of operating room nurses are aware of adverse events that occur from improper patient positioning, nevertheless 41% do not participate in positioning the patient because they consider it as an additional workload (52%). Orthopaedic surgeons answered that they receive help positioning the patient from 58% of the perioperative nurses, who acquired their knowledge either empirically (46%) or from themselves (31%). The majority of surgeons (82%) wish that perioperative nurses undertake the patient positioning if they are trained, mainly by attending special courses (65%). Conclusions: According to study results perioperative nurses lacked appropriate training in patient positioning for orthopaedic surgery. From this study emerges the need of continuing education for perioperative nurses and the expansion of perioperative nursing knowledge and skills. RT02 Impact of the WHO Surgical Safety Checklist: a systematic review F. Ferraiuolo1, A. Dante1, C. La Cerra1, A. Marcotullio1, L. Bertocchi1, V. Masotta1, C. Petrucci1, L. Lancia1 1University of L’Aquila, Department of Health, Life and Environmental Sciences, L’Aquila, Italy Objectives: Based on the content of the review protocol presented at the EORNA Virtual Congress 2021, an extensive systematic literature review is ongoing. In order to identify the relationship between the WHO Surgical Safety Checklist and perioperative clinical and organisational outcomes. Methods: The systematic review is conducted in accordance to the recommendations provided by the Cochrane Handbook for Systematic Reviews of Intervention. For the electronic search, PubMed, Scopus, CINAHL with Full Text, and Web of Science databases have been explored through structured search strings. Additional search strategies have been foreseen as well as the assessment of the risk of bias of included studies. Results: A total of 2,799 records have been retrieved from the electronic search. After removing duplicates, 1,658 abstracts were screened independently by two researchers for relevance. Any disagreement between authors has been solved by discussion with a third researcher. Currently, two researchers are screening independently a total of 211 full texts as potentially suitable for inclusion. According to the time schedule, authors plan to conclude the systematic review in Autumn 2021 and to present the main relevant results at the 10th EORNA Biennial Congress in 2022. Conclusions: It is expected that the impact of the WHO Surgical Safety Checklist on patients’ safety will be highlighted thanks to this systematic review. Consequently, this extensive work could inform healthcare organisations about the best application of the WHO Surgical Safety Checklist and could allow to implement organisational strategies aimed at ensuring the best level of patients’ safety. Stavanger, Norway | 12 - 15 May 2022 10th EORNA Congress Round Table Sessions
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