光学透镜在眼底手术应用与保养环节出现的问题及解决策略  

Problems and solving strategies of optical lens in the application and maintenance of fundus operation

作　　者：冉玲[1] 王薇[1] Ran Ling Wang Wei(Operating Room, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China)

机构地区：[1]首都医科大学附属北京同仁医院手术室,100730

出　　处：《中华现代护理杂志》2016年第31期4512-4514,共3页Chinese Journal of Modern Nursing

摘　　要：目的：汇总、分析光学透镜在眼底手术应用与保养环节出现的问题,并针对这些问题提出有效的解决策略,提升管理价值,保证患者安全。方法通过对北京市20家三级甲等医院中眼科器械的管理做一般情况调研。通过回顾性资料分析,对2015年1—12月在北京同仁医院中心手术室完成的1.3万例眼底手术中,使用光学透镜出现的不良事件进行汇总、分析。结果除专科医院外,80％以上医院没有设置专门的眼科器械室,75％的医院中,眼科器械仍由手术室负责,采用手工＋机械清洗的方式,专业化清洗工具配备不健全。对日常出现的各类问题,只有60％有专业化咨询和指导。回顾性资料显示,2015年1—12月发生光学透镜使用与保养的不良事件15件,发生率为0.12％。结论光学透镜的使用与管理应结合“五常法”专人负责、专业管理、不断更新,才能更好地发挥作用,保证患者手术安全。Objective To summarize and analyse problems and solving strategies optical lens in the application and maintenance of fundus operation, and put forward effective solving strategies aim at these problems, so as to improve the management value, and ensure the safety of patients. Methods The management status of ophthalmological instruments in 20 Beijing tertiary hospitals was investigated. Through the retrospective data analysis, the adverse events of 13,000 cases of fundus operation from January to December 2015 in the operation room of Beijing Tongren Hospital were collected and analyzed. Results Except special hospitals, more than 80% of the hospitals did not set up a special ophthalmological equipment room. Operating rooms in 75% of the hospitals were still in charge of the management of instruments, and methods of manual and mechanical cleaning were used, in addition, the professional cleaning tools were inadequate. For all kinds of daily problems, only 60% of them received professional advice and guidance. Retrospective data showed that from January to December 2015, the number of adverse events of optical lens in using and maintenance was 15, and the incidence rate was 0. 12%. Conclusions The use and of optical lens should be combined with the method of “5S” method, dedicated staff, professional management, and constantly updated, so as to play a better role in ensuring the safety of patients.

关 键 词：全面质量管理 眼底手术 光学透镜 

分 类 号：R779.6[医药卫生—眼科]