某三级甲等医院手术安全核对制度执行情况调查  

Investigation of the surgical safety checklist implementation in a tertiary hospital

作　　者：郑昕[1] 周岩冰[2] 周晓斌[5] 赵林[1] 高玉芳[3] 宁险峰[4] 

机构地区：[1]青岛大学医学院附属医院手术室,青岛266001 [2]青岛大学医学院附属医院普外科,青岛266001 [3]青岛大学医学院附属医院护理部,青岛266001 [4]青岛大学医学院附属医院医务处,青岛266001 [5]青岛大学医学院预防医学教研室

出　　处：《中华医院管理杂志》2012年第9期666-670,共5页Chinese Journal of Hospital Administration

摘　　要：目的了解医院外科手术参加人员执行《手术安全核对表》的情况。方法调查某三级甲等医院560例外科手术的参加人员，即手术者、助手、麻醉师和器械护士，调查内容包括依从性和对手术安全核对表项目的知晓率等。结果手术团队成员参与术前安全核对仍然存在不同程度的依从性差现象，且对所有核对项目不能做到充分的了解。通过手术安全核对能够完善手术团队质量安全意识。结论实施手术安全核对表是可行和有效的，可以避免择期手术的各种危害的风险，对促进手术团队之间的沟通交流、防止手术失误具有重要意义。Objective To investigate the implementation of the surgical safety checklist in the hospital. Methods The investigation covered the participants of 560 surgical operations of a tertiary hospital, including the surgeons, surgical assistants, scrub nurses and anesthetists, to learn their compliance and awareness of the content of the surgical safety checklist. Results Poor compliance and unawareness of some items of surgical safety checklist in surgical team members were found, plus insufficient understanding of some the items on the checklist. This checklist can improve the quality and safety awareness of the team. Conclusion The implementation of the surgical safety checklist is feasible and effective for avoidance of risks in selective operations, and conducive to promoting communication among the surgical team and preventing surgical errors.

关 键 词：手术安全 核对制度 执行 病人安全 团队 

分 类 号：R197.3[医药卫生—卫生事业管理]