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内科手术文档的挑战及其在患者安全中的作用:综合性审查
Leila Akbari1, Akram Aarabi1, Masoud Bahrami1
1Nursing and Midwifery Care Research Center, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iranian journal of nursing and midwifery research
|April 25, 2025
概括
准确的手术内记录对于患者安全至关重要. 实施协议,检查清单和团队合作显著提高了外科护理,减少了错误.
科学领域:
- 医疗信息学 医疗信息学
- 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:
- 术内文档对于持续的患者护理,团队交接和结果评估至关重要.
- 术内文档的挑战直接影响患者的安全.
- 在整个手术过程中,手术室需要准确的患者信息.
研究的目的:
- 调查与手术内文档相关的挑战.
- 检查手术期间文档在提高患者安全方面的作用.
主要方法:
- 进行了对英语语言数据库的综合性审查.
- 搜索包括EMBASE,Proquest,Web of Science,PubMed,ScienceDirect和Scopus从2001年到2022年的时间.
- 使用的关键词是"内科手术文档"",患者安全"",文档"和"内科".
主要成果:
- 从86项初步研究中确定了19篇相关文章.
- 协议,安全的手术计划和准确的文档被发现会对患者的安全产生积极影响.
- 团队合作,安全文化,检查清单和准确的计数是防止错误和并发症的关键因素.
结论:
- 内科手术记录可以提高手术团队的表现和患者的安全.
- 改进的文档有助于护理的连续性和有效的交接.
- 准确的手术内记录对于全面的结果评估至关重要.
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