BACKGROUND Patients' involvement in patient safety has increased in healthcare. Use of checklists may improve patient outcome in surgery, though few have attempted to engage patients' use of surgical checklist. To identify risk elements of complications based on patients' and healthcare workers' experiences is warranted. This study aims to identify what the patients and healthcare workers find to be the risk elements that should be included in a patient-driven surgical patient safety checklist. METHOD A qualitative study design where post-operative patients, surgeons, ward physicians, ward nurses, and secretaries from five surgical specialties took part in focus group interviews. Eleven focus groups were conducted including 25 post-operative patients and 27 healthcare workers at one tertiary teaching hospital and one community hospital in Norway. Based on their experiences, participants were asked to identify perceived risks before and after surgery. The interviews were analysed using content analysis. RESULTS Safety risk factors were categorised as pre-operative information: pre-operative preparations, post-operative information, post-operative plans and follow-up. The subcategories under pre-operative information and preparations were: contact information, medication safety, health status, optimising health, dental status, read information, preparation two weeks before surgery, inform your surgical ward, planning your own discharge, preparation on admission and just before surgery. The subcategories under post-operative information, further plans and follow-up were: prevention and complications, restriction and activity, medication safety, pain relief, stomach functions, further care and appointments. Both healthcare workers and patients express the need for a surgical patient safety checklist. CONCLUSION A broad spectre of risk elements for a patient safety checklist were identified. Developing a surgical safety checklist based on these risk elements might reduce complications and unwanted errors. TRAIL REGISTRATION The study is registered as part of a clinical trial in ClinicalTrials.gov: NCT03105713.

中文翻译：

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患者和医护人员对外科患者安全检查表的建议 - 一项定性研究。

背景技术患者对患者安全的参与在医疗保健中有所增加。使用检查表可能会改善患者的手术结果，尽管很少有人尝试让患者使用手术检查表。有必要根据患者和医护人员的经验识别并发症的风险因素。本研究旨在确定患者和医护人员发现哪些风险因素应包括在以患者为导向的外科患者安全检查表中。方法 一项定性研究设计，术后患者、外科医生、病房医生、病房护士和来自五个外科专科的秘书参加了焦点小组访谈。在挪威的一所三级教学医院和一所社区医院开展了 11 个焦点小组，包括 25 名术后患者和 27 名医护人员。根据他们的经验，参与者被要求识别手术前后的感知风险。访谈采用内容分析法进行分析。结果安全风险因素分为术前信息：术前准备、术后信息、术后计划和随访。术前信息和准备下的子类别是：联系信息、药物安全、健康状况、优化健康、牙齿状况、阅读信息、术前两周准备、通知您的手术病房、计划您自己的出院、入院准备和刚刚手术前。术后信息、进一步计划和随访下的子类别是：预防和并发症、限制和活动、药物安全、疼痛缓解、胃功能、进一步护理和预约。医护人员和患者都表示需要一份手术患者安全检查表。结论 确定了患者安全检查表的广泛风险因素。根据这些风险因素制定手术安全检查表可能会减少并发症和不必要的错误。跟踪注册 该研究在 ClinicalTrials.gov 上注册为临床试验的一部分：NCT03105713。医护人员和患者都表示需要一份手术患者安全检查表。结论 确定了患者安全检查表的广泛风险因素。根据这些风险因素制定手术安全检查表可能会减少并发症和不必要的错误。跟踪注册 该研究在 ClinicalTrials.gov 上注册为临床试验的一部分：NCT03105713。医护人员和患者都表示需要一份手术患者安全检查表。结论 确定了患者安全检查表的广泛风险因素。根据这些风险因素制定手术安全检查表可能会减少并发症和不必要的错误。跟踪注册 该研究在 ClinicalTrials.gov 上注册为临床试验的一部分：NCT03105713。