三级综合医院手术室艾滋病病例统计及风险管控分析  

Analysis of AIDS case statistics and risk management and control measures in the operation room of a tertiary referral hospital

作　　者：彭翠琴 

机构地区：[1]杭州市中医院

出　　处：《中国医院统计》2016年第2期103-105,共3页Chinese Journal of Hospital Statistics

摘　　要：目的 对三级综合医院手术室艾滋病病例进行统计分析,分析护士参与艾滋病临床急救的风险管控措施,降低职业暴露风险率.方法 统计2013年1月到2014年12月我院急诊手术室收治的艾滋病患者,分析风险管控措施实施前后患者病情分布,对比风险管控措施实施前后患者手术抢救成功率、护理人员的职业暴露率、防护情况以及职业暴露风险意识.结果 2013年中急诊术前发现艾滋病病例数为21例,占急诊总人数的0.732%,2014年为23例,占急诊总人数的0.797%,差异无统计学意义;实施风险管控措施后,手术室护士采取防护措施情况明显较风险管控前好,手术室护士的职业暴露风险意识较之前有明显的提高,以上差异均有统计学意义（P〈0.05）.结论 对手术室艾滋病病例进行统计归纳以及采取风险管控措施,能够有效地提高抢救成功率、提高医护人员的职业技能、降低职业暴露率以及提高医疗安全,值得临床上推广应用.Objective To statistically analyze AIDS cases in the operation room of a tertiary referral hospital , to analyze the risk management and control measures of the nurses participating in the clinical emergency treatment of AIDS, and to reduce the risk of occupational exposure. Methods From January 2013 to December 201.4, data of 213 patients treated in the emergency operating room were collected to analyze the disease distribution before and after the execution of the risk management and control measures, and to compare the success rate of operations, nursing staff＇s occupational exposure rate, nursing and occupational exposure risk awareness before and after the execution of the risk management and control measures. Results In 2013, before the operations, 21 cases of AIDS were found, accounting for 0.732% of the total number of cases, and 23 cases in 2014, accounting for 0. 797% of the total. The difference was not statistically significant. After the implementation of risk management and control measures, the protective measures of the operation room nurses were significantly better than the risk control, the occupational exposure awareness of nurses in the operation room was strengthened significantly, and the difference was statistically significant （P〈0.05）. Conclusion Statistical induction and risk management and control measures can effectively improve the success rate of rescue, improve the medical personnel＇s professional skills, reduce occupational exposure rate, improve medical safety, and be worthy of Clinical application.

关 键 词：三级综合医院 艾滋病患者 临床急救 风险管控 

分 类 号：R512.91[医药卫生—内科学]