手术室流量,门的打开和关闭:一项临床观察研究
Arzu Aslan Basli1,2, Ayşe Gökce Işıklı1,2, Serhat Hüseyin3,4
1Trakya University Keşan Hakki Yörük, School of Health Nursing Department.
Journal of patient safety
|January 13, 2026
概括
心血管外科手术手术室的门经常打开,每次手术平均74个. 许多条目,包括20.3%,与手术无关,可能影响空气质量和感染风险.
科学领域:
- 医疗保健管理的管理
- 外科手术的安全性
- 感染控制 感染控制
背景情况:
- 操作室 (OR) 流量,包括门的打开和人员的移动,是保持无菌环境的关键因素.
- 频繁的OR门打开可能会损害空气质量,增加手术部位感染 (SSI) 的风险.
研究的目的:
- 为了量化心血管手术期间手术室门打开的频率.
- 为了确定进入和离开手术室的人员数量.
- 确定这些程序期间进入和退出的主要原因.
主要方法:
- 在一所大学医院的心血管外科手术手术室进行了一项描述性观察性研究.
- 在连续22次手术中使用"手术期间观察表格"收集数据.
- 用描述性统计数据来分析收集的数据.
主要成果:
- 每次心血管外科手术的平均门口数量为74.18 (±41.54),相当于每小时16.92 (±7.33) 个门口.
- 支持人员 (27.8%),护士 (24.7%) 和输液师/其他人员 (18.9%) 是最常打开门的人.
- 设备检索 (27.2%) 是进入的主要原因,其中20.3%的入口与正在进行的手术无关.
结论:
- 经常打开门和人员移动证明的高操作室流量可能会对空气质量产生负面影响并增加SSI风险.
- 建议包括教育举措,增强设备规划和制度政策,以尽量减少不必要的交通.
- 减少OR门的打开和人员的移动对于保持无菌的外科领域和改善患者的治疗结果至关重要.
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