制定和验证心肺绕道术的检查清单
Valdir Assis Dos Reis Filho1, Karina Aparecida Antonelli Novello1, Mariana Leticia Matias1
1Division of Cardiovascular Surgery, Instituto Dante Pazzanese de Cardiologia, Av. Dr. Dante Pazzanese, 500 - Vila Mariana, São Paulo - SP, 04012-909, Brazil.
The journal of extra-corporeal technology
|March 7, 2025
概括
一个新的心肺绕道 (CPB) 检查清单被专家开发和验证. 该工具旨在通过识别CPB程序中的潜在故障来提高患者安全,从而提高整体护理质量.
科学领域:
- 医疗器械 医疗器械
- 患者安全 患者安全
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 患者护理方案旨在减少不良事件.
- 心肺绕道 (CPB) 存在诸如生理问题和设备故障等风险.
- 检查清单对于识别医疗保健中的潜在失败至关重要.
研究的目的:
- 制定和验证专门用于心肺旁路手术的检查清单.
- 在CPB期间提高患者安全.
- 提高CPB程序的质量.
主要方法:
- 使用Delphi技术与五位经验丰富的 perfusion 专家进行共识验证.
- 文献审查,以创建一个初始问卷.
- 两轮的专家评估和反.
主要成果:
- 根据专家的意见,初步的42项清单得到了改进.
- 第二个由37项组成的清单获得了专家的认可 (平均评价≥4,标准偏差≤1.0).
- 开发了一个由41个元素组成的最终检查清单,被认为对分析至关重要.
结论:
- 对CPB的检查清单是改善程序安全和质量的有效策略.
- 建议实施和采用已开发的检查清单.
- 检查清单有助于识别和减轻与CPB相关的风险.
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