日帰り手術における術野記録の評価と改善策の実施：監査から行動へ
Abdulwahab Mustafa1, Monzir Salah Eldaw Mohammed Ahmed2, Hashim Homaida3
1General Surgery, Almanagil Teaching Hospital, Almanagil, SDN.
Cureus
|December 30, 2025
まとめ
臨床監査はスーダンにおける術野記録を改善し、コンプライアンスを30.3%から71.6%に向上させた。標準化されたテンプレートやスタッフ教育などの介入は、患者の安全とケアの継続性を高める上で重要であった。
背景:
- 術野記録は、患者の安全、ケアの継続性、および法医学的記録にとって極めて重要である。術野記録に関する国際基準の遵守は、スーダンを含む低・中所得国では依然として低いままである。
結論:
- 構造化された介入（テンプレート、教育、監督）は、術野記録のコンプライアンスを大幅に向上させた。継続的な監査サイクルと電子記録システムは、改善を維持し、残りの記録のギャップに対処するために必要である。
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