手术室非责任性手术物品清点不清事件的原因分析及对策  

Analysis of the causes and counter measures of non-responsible operation articles checking inveracity events in operation room

作　　者：韩小云[1] 倪静玉[2] 

机构地区：[1]江苏省常州市第一人民医院手术室,213003 [2]江苏省常州市第一人民医院护理部,213003

出　　处：《中国实用护理杂志》2017年第29期2305-2307,共3页Chinese Journal of Practical Nursing

摘　　要：目的 探讨手术室非责任性物品清点不清事件的预防.方法 对2016年1月至2017年1月发生的22例非责任性物品清点不清事件进行原因分析.结果22例手术物品清点不清均为手术物品细微部分缺损,原因分析：人员因素中7例为术者不正确操作;病种因素中骨科9例,妇科5例,肝胆外科3例,其余5例散发于其他外科;手术方式因素中12例来自微创手术,10例来自开放手术;物品因素中手术物品细微部分缺损中,一次性耗材10例,手术室常规器械8例,外来器械4例.结论 应加强对外科医生的职业安全教育和器械的规范化使用培训,加强骨科专科化的手术配合以及对外来器械的管理,不断总结和完善物品清点细则,特别是微创手术的清点细则,对新使用的器械和耗材应及时制订清点标准和细则,并给予培训和督查落实;应制订物品清点不清应急预案,按规范填写清点意外报告.Objective To explore the management of non-responsible articles checking inveracity in operation room. Methods From January 2016 to January 2017,22 cases of non-responsible articles checking inveracity events were analyzed and the countermeasures were put forward. Results Twenty-two cases of non-responsible operation articles checking were the minor defects of surgical instrument. 7 cases related to incorrect operation of the surgeon and the indifference of the goods inventory consciousness. 9 cases were from the department of orthopedics, 5 cases were from the department of gynaecology,3 cases were from the department of hepatobiliary surgery,and another 5 cases were from other department. In the style of surgery, 12 cases of 22 cases were from minimally invasive surgery,10 cases were from open surgery.In the style of articles,10 cases were from one-off consumptive material,8 cases were from conventional instruments of surgery,and the rest of 4 cases were from rent instruments. Conclusions We should strengthen the occupation safety education for surgeons, enhance the orthopedics specialized surgical cooperation and management of external instruments,formulate checking rules of articles, summarize and revised the requirements of minimally invasive surgery.We should work on standards for new consumptive material and surgical instrument. Wen should work on the emergency plans of non-responsible operation articles checking inveracity events,timely write the report of accident events.

关 键 词：手术室 手术物品 非责任性清点 管理 

分 类 号：R472.3[医药卫生—护理学]