上海市2010年体外循环专业质量督查回顾  

The review of supervision process of extracorporeal circulation clinical quality in Shanghai 2010

作　　者：李欣[1] 胡克俭[2] 朱德明[3] 王连才 王伟[3] 王军[5] 王利民[6] 王维俊[7] 魏来 

机构地区：[1]上海交通大学附属胸科医院体外循环室,上海200030 [2]上海复旦大学附属中山医院心外科,上海200032 [3]上海交通大学医学院附属上海儿童医学中心体外循环科,上海200127 [4]上海远大心胸医院心外科,上海200232 [5]第二军医大学附属长海医院胸心外科,上海200433 [6]上海市第一人民医院心外科,上海200080 [7]上海交通大学医学院附属仁济医院胸心外科,上海200127 [8]上海市胸心外科临床质量控制中心,上海200032

出　　处：《中国体外循环杂志》2010年第4期200-203,共4页Chinese Journal of Extracorporeal Circulation

摘　　要：目的回顾2010年上海市体外循环专业质量督查过程,报告此次督查结果 ,分析上海作为具有一定代表性的地区体外循环基础安全现状。方法 2010年,根据上海市胸心外科临床质量控制中心的要求和委托,上海市体外循环学会组织了对上海开展心脏外科的20家医院进行体外循环专业质量督查。制定统一记录单和质量督查标准,组织专家实施督查工作。结果各医院普遍达了到督查标准要求的人员和资质标准,实际操作和现场提问均表现良好,大多建立了不同程度成文的规章制度,但体外循环临床常规成文不足,仪器设备与耗材管理问题表现略多。结论体外循环专业质量督查的目的是为了保证整体体外循环安全性,提高体外循环专业水平,上海作为具有一定代表性的地区,体外循环基础安全状况整体满意,但存在的问题需要进一步解决。OBJECTIVE To review the process of supervision process of extracorporeal circulation clinical quality in Shanghai 2010.Analysis the final results,evaluate the general perfusion safety status in Shanghai as a model in China.METHODS Under the requests of Shanghai thoracic and cardiovascular surgery clinical quality control center,Shanghai Society of Extracorporeal Circulation（SSEC） have issued a standard perfusion record form and standards with common sense by all the participant hospitals.Supervision process had been finished by experts from SSEC.RESULTS Generally,all perfusionist from different hospitals match the criteria of personnel certification,and with good performance in on-site oral or operating test.The basic regulatory documents were available in most of the hospital,but documents for clinical perfusion protocol were not sufficient.Basic safety devices were not available in some hospitals.CONCLUSION The goal of clinical quality supervision is to benefit both perfusion safety and perfusion clinical results.The general perfusion safety status in Shanghai is good,but some problems are still existing and worth more attention.

关 键 词：体外循环 质量 督查 

分 类 号：R654.1[医药卫生—外科学]