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[临床模拟对改善遵守外科安全检查清单的影响]
M Corominas Iglesias1, M Blasco Afonso2, J Piqué-Buisan3
1Area de simulació, Fundació Hospital d'Olot i Comarcal de la Garrotxa, Olot, Girona, España.
Journal of healthcare quality research
|October 2, 2025
概括
基于模拟的培训显著改善了在手术的入门和暂停阶段遵守外科安全检查清单 (SSC) 的情况. 这种方法通过增加遵守关键安全协议来提高患者的安全性.
科学领域:
- 医学教育 医学教育
- 患者安全 患者安全
- 改善外科手术的质量
背景情况:
- 每年有超过3亿次手术,可预防的不良事件通常与未完全遵守外科安全清单 (SSC) 相关.
- 基于模拟的培训提供了一种可行的方法来加强遵守基本的外科安全协议.
研究的目的:
- 评估基于模拟的干预措施在医院环境中增加对外科安全检查清单 (SSC) 的遵守方面的有效性.
- 评估模拟培训对手术室医疗保健专业人员遵守世卫组织认可的SSC协议的影响.
主要方法:
- 一项回顾性,准实验性定量研究分析了2021年至2023年模拟前后数据.
- 进行了模拟真实手术室场景的临床模拟,随后进行了指导反射报告.
- 数据包括各部门 (麻醉学,外科,骨科,护理) 的参与率和SSC合规度量.
主要成果:
- 在模拟后的手术入门和暂停阶段 (P=.000) 观察到SSC遵守的显著改善.
- 在外科退出阶段,没有发现遵守规则的显著变化.
- 部门参与度有所不同,骨科 (75%) 和外科护士 (76.5%) 的参与度更高.
结论:
- 基于模拟的干预措施有效地提高了对外科手术安全清单的遵守,特别是在关键的手术期间.
- 通过模拟培训提高SSC合规性,有助于改善手术环境中的整体患者安全.
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