Keywords
Ophthalmology
Checklist
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Abstract
Objective: To evaluate the impact of implementing surgical safety checklists in reducing adverse events and improving patient safety in ophthalmic surgeries. Methods: An integrative review conducted using studies from the MEDLINE, EMBASE, Cochrane Library, Web of Science, Scopus, and Google Scholar databases. Randomized clinical trials, observational studies, and qualitative research were included. The analysis followed Bardin’s thematic synthesis, and the studies were assessed for the risk of bias. Results: Seventeen studies utilizing different checklists were analyzed. The WHO Surgical Safety Checklist was the most frequently applied, reducing errors in patient identification, incorrect surgical site marking, and improper intraocular lens implantation. Other checklists, such as the Universal Protocol and ClassIntra, also demonstrated a positive impact. The main barriers to implementation included workload overload, professional resistance, and lack of institutional standardization. Final considerations: The adoption of surgical checklists in ophthalmology reduces adverse events and enhances team communication but faces adherence challenges. Future studies should validate adapted versions and explore strategies to expand their implementation in clinical practice.
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