防止在腹腔外科手术中保留外科用品:一个最佳实践实施项目的项目
Sharlyn Jia Yi Ng1, Mohamad Norisham Norzan2,3, Joyce Hui Ling Chai1
1Nursing Department, National University Hospital, Singapore.
JBI evidence implementation
|November 24, 2025
概括
实施手术计数的最佳实践显著减少保留的手术项目 (RSI),这是一个从未发生过的事件. 外科医生参与手术暂停协议是改善遵守和患者安全的关键.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 手术护理 医疗护理
背景情况:
- 手术用品保留 (RSI) 是一个具有严重后果的关键患者安全问题.
- RSI被归类为一个RSI.
- 从来没有事件事件.
- ,强调其可预防性和对患者护理和医疗保健组织的影响.
研究的目的:
- 实施基于证据的手术计数最佳实践.
- 在接受腹腔外科手术的患者中减少保留手术物品 (RSI) 的发生率.
主要方法:
- 使用了七阶段的JBI证据实施框架.
- 进行了反的前后审计,评估了每次审计30名患者的五个基于证据的标准.
- 实施了有针对性的战略,以解决合规缺口,特别是关于"手术暂停"协议.
主要成果:
- 对于大多数标准来说,基线符合性很高,但对于"手术暂停" (16.7%) 则很低,外科医生在关闭之前未能进行伤口探索.
- 将外科医生作为利益关方参与修订"外科暂停"协议,导致了显著的合规改进 (66.7%至86.7%).
结论:
- 项目实施增加了对手术计数的最佳实践的遵守.
- 人为因素,包括跨专业的合作和对干预的态度,仍然是防止RSI事件的挑战.
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