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注意差距:报告与观察的外科安全检查清单:混合手术室的超时遵守
Nicholas Rennie1, Gilles Soenens1, Ida Meyns2
1Department of Thoracic and Vascular Surgery, Ghent University Hospital, Ghent, Belgium.
World journal of surgery
|February 19, 2026
概括
在内血管外科手术中,对世卫组织外科安全检查清单 (SSC) 时限的实际遵守率明显低于报告的水平. 视频分析揭示了关键差距,强调需要更好地评估和实施手术安全战略.
科学领域:
- 内血管外科 血管内血管外科
- 患者安全 患者安全
- 改善外科手术的质量
背景情况:
- 内血管外科手术需要严格的安全协议.
- 世卫组织的手术安全清单 (SSC) 旨在减少手术风险,但最近的遵守数据是混合的.
- 评估混合性手术室的现实世界遵守是至关重要的.
研究的目的:
- 在混合式手术室中观察世卫组织SSC停顿阶段的现实世界遵守情况.
- 评估检查清单性能观察改善NT (检查点) 工具的有效性.
主要方法:
- 内血管程序的回顾性观察性研究 (2021年5月至2022年12月).
- 在2021年10月从纸质SSC过渡到电子SSC.
- 通过OR黑进行视频录制,并使用CheckPOINT评估时限.
主要成果:
- 在87.7%的程序中启动了超时;报告的完成率为95.5%,而观察到的46.8%.
- 在大多数项目中,观察到的遵守率明显低于报告的水平,除了"病人名字".
- 经验丰富的外科医生表现出较低的启动和完成率;检查点参与度较低.
结论:
- 视频观察显示,报告和实际的SSC遵守之间存在很大差异.
- 需要改进SSC的评估和实施.
- 将视频录制与CheckPOINT等工具相结合,可以推动数据驱动的质量改进.
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