留置的外来物体信号在手术室的危险气氛
Daniele Rigamonti1, Karen H Rigamonti2, Alessandra S Rigamonti3
1Neurosurgery,, Johns Hopkins Medicine, Pikesville, USA.
Cureus
|April 9, 2025
概括
留置的外来物体 (RFOs) 是一个重要的患者安全风险,经常标志着不安全的手术室文化. 解决RFOs需要警,标准化的计数政策,以及领导层对安全的坚定承诺.
科学领域:
- 患者安全 患者安全
- 手术风险管理手术风险管理
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 留存的外来物体 (RFOs),也称为无意留存的外来物体 (URFOs) 或留存的外科物品 (RSIs),是侵入性手术后的关键患者安全问题.
- 在跌倒之后,RFOs是第二个报告最多的哨戒事件 (SE),突出了它们的流行程度和影响.
- 有助于RFO的因素包括手术内流血,长时间的手术,多个手术团队和不充分的计数协议.
研究的目的:
- 分析在手术过程中留住异物 (RFOs) 的促成因素.
- 强调手术室 (OR) 文化在RFOs发生中的作用.
- 提出消除RFOs和改善患者安全的战略.
主要方法:
- 对被保留的外来物体 (RFOs) 造成的因素的审查.
- 分析技术解决方案,如带条码和RFID标记的海绵.
- 评估手术室 (OR) 文化和政策对RFO发生率的影响.
主要成果:
- 几个因素增加了RFO风险,包括操作复杂性,血液流失和团队动态.
- 技术进步已经显示出潜力,但面临着有限的采用.
- 错误正确计数的很大比例表明不安全的OR文化发挥了关键作用.
结论:
- 区域区域组织 (RFOs) 作为OR环境和文化中潜在问题的指标.
- 一个涉及警,标准化政策和员工问责制的多方策略对于消除RFO至关重要.
- 强有力的领导承诺,资源配置和安全价值观的角色建模对于促进更安全的外科环境至关重要.
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