临床审计的程序前检查列表在马匹转诊医院
Thomas J Beeston1, Juliet C Duncan1, Patrick J Pollock1
1Royal (Dick) School of Veterinary Studies Equine Hospital, University of Edinburgh, Edinburgh, UK.
Equine veterinary journal
|September 5, 2025
概括
马医院的手术安全检查清单最初的遵守率很低,但在重新设计和教育等有针对性的干预措施后显著改善. 为了保持高标准的兽医手术安全,定期进行审计至关重要.
科学领域:
- 动物医学
- 手术安全
- 临床审计
背景情况:
- 手术安全检查清单已被证明可以降低人体医学中的发病率和死亡率.
- 它们在兽医,特别是马术中的应用值得研究.
- 为了实现安全效益,一致和正确的检查清单使用至关重要.
研究的目的:
- 评估马匹转诊医院是否遵守手术前和手术安全检查清单.
- 评估旨在提高清单完成率的干预措施的有效性.
主要方法:
- 对148个手术安全检查清单进行了回顾性临床审核.
- 干预措施包括重新设计检查清单,员工教育,提醒和冠军招聘.
- 在实施干预措施后,对30个检查清单进行了重新审计.
主要成果:
- 最初的检查清单完成率差异很大 (9%-89%),中位数为64%.
- 干预后,完成率显著提高 (80%-100%),中位数为93%.
- 退出部分仍然是清单中最常见的不完整部分.
结论:
- 实施的干预措施对马术环境中的检查清单完成率产生了积极影响.
- 临床审计是加强检查清单使用和促进兽医医院安全文化的有效工具.
- 持续的监测和质量改善举措对于持续的外科安全至关重要.
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