患者在手术台上的位置和患者安全:系统性审查和元分析
Signe Berit Bentsen1,2, Geir Egil Eide1, Siri Wiig1,3
1Department of Health and Caring Sciences, Western Norway University of Applied Sciences, Bergen, Norway.
Journal of advanced nursing
|January 8, 2024
概括
在手术室患者定位期间发生有害事件,总体风险为0.2%. 倾斜的位置带来了最高的风险,突出了提高意识和预防策略的必要性.
科学领域:
- 医疗安全 医疗安全
- 手术手术手术手术手术手术手术手术手术手术
- 患者的治疗结果.
背景情况:
- 患者的定位是手术程序的一个关键方面.
- 与患者定位相关的有害事件可能导致严重后果.
- 对这些事件的现有研究是有限的.
研究的目的:
- 系统地审查和分析与患者在手术台上的位置相关的有害事件的发生情况.
- 量化与各种手术位置相关的伤害风险.
主要方法:
- 来自八个数据库的研究的系统审查和元分析.
- 从数据库开始到2023年8月进行的搜索.
- 使用Cochrane风险偏差工具评估偏差风险.
主要成果:
- 包括22份报告,包括RCT,队列,横截面和基于登记的研究.
- 确定的危害包括神经损伤,压力,肌肉骨和血管损伤,术后疼痛和眼睛损伤.
- 整体伤害风险为0.2%,倾斜的位置显示出最高风险 (0.33%).
结论:
- 与患者定位相关的有害事件在手术环境中是一个重大问题.
- 操作室团队必须在预防和管理这些危害方面保持警.
- 需要高质量的研究来进一步了解和减轻与患者定位相关的风险.
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