在手术室的手术计数中断
Zhi Lujun1, Gao Yuan2, Wang Wei3
1Anesthesia&Operation Center, West China Hospital, Sichuan University, Chengdu, China.
BMC nursing
|April 10, 2024
概括
手术计数中断在手术室中经常发生,通常是由仪器引起的. 这些干扰对护士产生负面影响,需要针对不同手术角色进行有针对性的干预.
科学领域:
- 医疗保健操作 医疗保健操作
- 患者安全 患者安全
- 手术护理 医疗护理
背景情况:
- 手术室 (OR) 是具有高认知负载的苛刻环境.
- 第一次手术计数是一个关键的手术前阶段,容易发生频繁的中断.
- 了解这些中断的性质对于改善OR工作流程至关重要.
研究的目的:
- 分析第一次手术中断的来源,结果,频率和反应.
- 在这些关键事件中确定最常见的原因和受影响的人员.
主要方法:
- 在两个月内 (2023年8月至9月) 进行了一项回顾性观察性研究.
- 数据采集使用研究人员开发的"外科计数中断事件表".
- 在1015个手术中观察到66名循环护士 (CNs) 和洗护士 (SNs).
主要成果:
- 在手术计数期间,共有697次中断发生,平均每小时8.7次.
- 仪器是最常见的中断来源 (20.7%).
- 循环护士受影响最大 (48.2%),大多数中断都有负面结果.
结论:
- 第一次手术计数中断的频率很高,这对OR效率构成风险.
- 干预策略应根据特定的外科专业和护理角色量身定制.
- 解决这些中断对于提高患者安全和OR工作流程至关重要.
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