操作室通风系统评估 (ORVSA) 工具的开发和验证:手术场所感染预防的全面检查清单
Mohammad Hashemi1, Saeed Jafari2, Hamidreza Mokarami3
1Student research committee, Shiraz University of Medical Sciences, Shiraz, Iran.
American journal of infection control
|August 20, 2025
概括
一个新的工具,手术室通风系统评估 (ORVSA),已被开发来评估手术室通风. 这种经过验证的工具有助于确保最佳的系统性能,并减少手术部位感染.
科学领域:
- 医疗保健工程 医疗保健工程
- 感染控制 感染控制
- 医疗器械开发 医疗器械开发
背景情况:
- 手术部位感染 (SSIs) 存在重大风险,包括增加死亡率,长时间住院和增加医疗保健费用.
- 有效的手术室 (OR) 通风对于预防SSI至关重要,但没有标准化的评估方法.
- 缺乏标准化的工具阻碍了OR通风系统的一致评估和优化.
研究的目的:
- 开发和验证操作室通风系统评估 (ORVSA) 工具.
- 创建一个标准化的方法来评估OR通风系统的性能.
- 确保OR通风的最佳功能,以支持患者的安全.
主要方法:
- 采用了一种混合方法的顺序探索设计.
- 定性阶段:文献审查,标准分析和专家小组商,以确定关键的评估领域和项目.
- 定量阶段:在七家医院的64个手术室中评估心理测量属性 (内容有效性,可靠性).
主要成果:
- 该ORVSA工具由七个领域和44个项目组成,涉及通风类型,排气,过,空气处理单元,麻醉气体管理,管理因素和标准.
- 该工具显示出优异的内容有效性 (平均CVI=0.959,平均CVR=0.936).
- 高可靠性通过科恩的卡帕 (0.963) 和测试-重新测试可靠性 (0.949) 得到证实.
结论:
- 该ORVSA工具提供了一个全面的,用户友好的方法来评估OR通风系统.
- 它促进了合规性检查,并确定了系统增强的领域.
- 凭借强大的心理测量特性,ORVSA工具对于减少SSI和改善手术环境中的患者安全非常有价值.
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