实施和评估一个低碳,高质量的外科手术期间患者升温通路
Karina Spoyalo1, Thais Ayres Rebello2, Christina Schwarz3
1Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
BMJ quality & safety
|February 9, 2026
概括
实施优化的患者变暖途径减少了法兰毯的使用和成本,从而大大节省了环境和高质量的护理,而不会增加低温的发生率.
科学领域:
- 在外科手术期间的医学.
- 医疗保健中的环境可持续性
- 提高外科手术的质量
背景情况:
- 术内低温症带来了重大的临床,财务和环境挑战.
- 环境优越的变暖实践包括可重复使用的毯子和优化使用强制空气变暖 (FAW) 服装.
- 通过将环境数据与最佳实践相结合,开发了一种优化患者变暖途径 (OPWP).
研究的目的:
- 开发和评估一种优化患者变暖途径 (OPWP),以减少环境影响和改善患者护理.
- 将环境数据,最佳实践和质量改进方法整合到可持续的外科手术期间变暖战略中.
- 评估OPWP对环境节约,财务成本,低温率和患者报告结果的影响.
主要方法:
- 该OPWP是通过范围审查,环境影响评估和根本原因分析开发的.
- 实施涉及9个计划-做-学习-行动 (PDSA) 周期在第三级护理医院,包括扩大预热,FAW服装保存,员工教育和行为策略.
- 干预前后的审计评估了环境和财务节省,低温发病率以及患者报告的结果.
主要成果:
- 在实施后,法兰毯的使用量显著下降 (每名患者6至3;p<0.01).
- 活跃升温率在手术前 (55%至80%;p=0.04) 和手术后 (0%至55%;p<0.01) 增加.
- 估计每年节省940,339公斤二氧化碳相当量和C117,978美元,低温没有显著变化 (18%至15%;p=0.77) 和患者报告的良好结果.
结论:
- 基于证据的OPWP成功实现了环境可持续性和低碳患者护理.
- 实施证明了显著的环境和财务效益,同时保持高质量的患者护理.
- 该途径为医疗保健机构中可持续的外科手术期间变暖实践提供了一个模型.
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