Implantación del listado de verificación de seguridad quirúrgica en un hospital comarcal / Implementation of the surgical safety checklist in a regional hospital

OBJETIVO: describir el grado de cumplimentación del listado de verific ción de seguridad quirúrgica (LVSQ) en el servicio de quirófano de un hospital comarcal. MÉTODO: estudio descriptivo transversal llevado a cabo en el Hospital Santos Reyes de Aranda de Duero (Burgos) entre mayo de 2015 y mayo de 2016. Se realizó un muestreo aleatorio simple de 750 individuos sometidos a cirugía programada para la revisión de los LVSQ contenidos en sus historias clínicas. Se efectuó un análisis descriptivo con frecuencias absolutas y porcentajes de los ítems del listado categorizados por el momento del procedimiento quirúrgico (antes de la inducción anestésica, antes de la incisión cutánea y antes de la salida de quirófano) y por el profesional responsable de su cumplimentación (enfermera, anestesista y cirujano). RESULTADOS: se estudiaron un total de 604 listados de verificaciónde seguridad quirúrgica. Se observó una mayor cumplimentación del LVSQ en los momentos anteriores a la inducción anestésica y a la incisión cutánea que antes de la salida de quirófano y siempre en aquellos ítems cumplimentados por enfermeras. La cumplimentación de las cuestiones propias de las enfermeras rondó el 88%, fue del 49% en el caso de los ítems propios de los anestesistas y del 46,9% en los asignados a cirujanos. Fue necesario corregir el consentimiento informado en el 4,3% de las intervenciones. CONCLUSIONES: hay diferencias en la cumplimentación del LVSQ en función del momento quirúrgico y del profesional responsable. La formación del personal implicado, así como la implicación de los líderes institucionales, podría jugar un papel para conseguir una mayor adherencia en la cumplimentación

OBJECTIVE: to describe the level of compliance with the Surgical Safety Checklist (SSCL) at the Operating Room in a regional hospital. METHOD: a descriptive cross-sectional study conducted at the Hospital Santos Reyes of Aranda de Duero (Burgos) between May, 2015 and May, 2016. Simple random sampling was conducted on 750 individuals undergoing scheduled surgery, in order to review the SSCLs included in their clinical records. Descriptive analysis was conducted with absolute frequencies and percentages of the list items, classified by time point during the surgical procedure (before anesthetic induction, before skin incision, and before leaving the operating room), and by professional responsible for completion (nurse, anesthetist and surgeon). RESULTS: in total, 604 Surgical Safety Checklists were studied. Higher SSCL compliance was observed a the time point before anesthetic induction and skin incision, than before leaving the operating room, and always in those items completed by nurses. Completion of items by nurses reached about 88%; in the case of anesthetists, it was 49%, and 46.9% in those items assigned to surgeons. It was necessary to correct Informed Consents in 4.3% of interventions. CONCLUSIONS: there are differences in SSCL compliance according to the surgical time and the professional in charge. Training for the staff involved, as well as involvement by institution leaders, could play a role in order to achieve a higher adherence in terms of compliance

Purification of polluted water with spent mushroom (Agaricus bisporus) substrate: from agricultural waste to biosorbent of phenanthrene, Cd and Pb.

The present research was aimed to (i) report the recycling of spent A. bisporus substrate (SAS) to remove heavy metals (Cd and Pb) and phenanthrene (Phe) from polluted water and (ii) assess the possibility to use the treated water for irrigation. Batch experiments were carried out to assess, firstly, the effect of interaction time between pollutants with SAS and, secondly, the pH of the polluted water. Then a biofilter was designed by using pressurized glass columns. Chemical parameters such as pH, electrical conductivity and content of Pb, Cd, Phe, nutrients (NPK) and Cl- were determined. Equilibrium for contaminants was quickly reached (1-2 h). The pH of the polluted water was the key factor for pollutants' adsorption. The polluted water's pH was increased after biofilter interaction. Phe was not detected in any fraction. Pb and Cd sorption rates were higher than 99%. The pollutant concentrations were within the permitted range to be used for agriculture purposes. Purified water showed significant concentrations of NPK, indicating its potential use as fertilizer. The SAS shows potential to be used as Phe, Pb and Cd biosorbent and the resulting treated water can be used for irrigation according to pollutant contents and agronomical evaluation.