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保留的外科项目风险评估尺度:发展和心理特征

Hamide Nur Erkan¹, Özlem Soyer Er²

¹Surgical Nursing Department, Afyonkarahisar Health Sciences University, Graduate Education Institute, Afyonkarahisar, Turkey.

The Journal of surgical research

|February 10, 2024

概括

一个新的尺度有助于识别在手术室 (OR) 中保留的外科器械的风险. 这个工具可以通过评估"数量和手术"和"设备"因素来改善OR标准并减少医疗错误.

科学领域:

医学错误研究医学错误研究
外科手术的安全性
改善医疗保健质量改善医疗保健质量

背景情况:

保留的外科器械 (RSI) 是手术室 (OR) 中医疗错误的重要来源.
识别RSI的风险因素对于改善OR标准和防止错误至关重要.
积极的措施可以减轻RSI的发生率.

研究的目的:

开发和验证可靠的测量工具,用于评估ORS中保留的外科器件风险.
确定导致RSI风险的关键因素.
为有针对性的干预提供基础,以减少RSI事件.

主要方法:

这项研究涉及270名参与者,并使用了几种数据收集形式.
统计分析包括内容有效性指数,克伦巴赫的α,因子分析和ROC曲线分析.
一个15项保留的外科项目风险评估尺度被开发和验证.

主要成果:

开发的尺度表现出高的有效性 (CVI=0.92) 和可靠性 (卡帕=0.993,克伦巴赫的α=0.722).
探索性和确认性因子分析确定了两个主要因素:"计数和手术"和"设备".
ROC分析表明切割点≥8,具有93.13%的特异性和87.50%的灵敏度 (AUC=0.938).

结论:

经过验证的尺度是评估ORS中保留的外科项目风险的可靠工具.
实施该尺度可以帮助识别高风险情况和患者.
基于风险评估的有针对性的预防措施可以显著减少保留的手术器件的发生率.

关键词:

操作室的操作室.保留的外科手术用品风险评估规模风险评估规模风险因素风险因素

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