WHO手术安全核查执行10周年的现状调查研究  

A survey of the ten-year implementation of WHO surgical safety checklist in China

作　　者：朱斌[1] 高欢 周祥勇[3] 刘宇[4] 黄宇光[5] 黄建宏[6] Zhu Bin;Gao Huan;Zhou Xiangyong;Liu Yu;Huang Yuguang;Huang Jeffrey(Department of Anesthesiology,Peking University International Hospital,Beijing 102206,China;Depart-ment of Anesthesiology,Fangcheng County Hospital,Nanyang 473200,China;Department of Anesthesiology,The Second Affiliated Hospital,Zhejiang University,Hangzhou 310000,China;Department of Medical Management,Peking University International Hospital,Beijing 102206,China;Department of Anesthesiology,Peking Union Medical College Hospital Anesthesia Quality Assurance Center,National Health Commission of the People′s Republic of China,Beijing 100730,China;Department of Anesthesiology,University of Central Florida Hospital,Orlando FL 32789,United States)

机构地区：[1]北京大学国际医院麻醉科,102206 [2]河南省方城县人民医院麻醉科,南阳473200 [3]浙江大学医学院附属第二医院麻醉科,杭州310000 [4]北京大学国际医院医务部,102206 [5]北京协和医院麻醉科国家卫健委麻醉专业质控中心,100730 [6]美国中佛罗里达大学医院麻醉科,奥兰多FL 32789

出　　处：《中华麻醉学杂志》2019年第9期1041-1046,共6页Chinese Journal of Anesthesiology

摘　　要：目的调查WHO手术安全核查执行10周年的现状。方法基于核查表的麻醉诱导前、切皮前和病人离室前的3部分内容来设计问卷调查,并兼顾一些热点和争议。通过微信平台对新青年麻醉论坛会员发送了上述问卷调查表,每个微信认证ID号容许1次答题。结果共有3943名会员阅读了这份问卷邀请,其中2121名会员完成了问卷调查表,整体完成率53.79%。麻醉诱导前核查:常规进行麻醉实施前核查的比率为93.35%,按照核查清逐一进行核对的比率为60.16%,外科医师不参与此核查比率为14.05%。切皮前核查:常规进行切皮前核查比率为78.22%,按照核查清逐一进行核对的比率为51.91%;外科医师、麻醉医师常规陈述各自专业关键信息的比率分别为18.24%和18.81%。病人离室前核查:常规进行手术开始前核查比率为64.26%,按照核查单上所有项目逐一进行核对的比率为44.18%。对核查态度认真的比率为56.20%。认为外科医师应该参与麻醉实施前核查的比率为81.47%。自己或家人接受外科手术时,希望执行核查的比率为98.35%。认为践行WHO手术安全核查可以减少手术并发症,提高病人麻醉手术安全的比率为94.34%。结论我国麻醉诱导前核查执行率高,而切皮前核查和病人离室前核查执行率依次降低。尽管WHO手术安全核查执行状况存在问题,多数答题者相信执行核查可以提高病人麻醉手术安全。Objective To investigate the current status of the ten-year implementation of the World Health Organization(WHO)surgical safety checklist(SSC)in China.Methods A questionnaire was designed based on the three phases described by the checklist—the period before induction of anaesthesia,the period before skin incision,and the period before patient leaves operating room,taking into account some hotspots and disputes.The questionnaire was sent to the members of the Chinese-based online New Youth Anesthesia Forum through the WeChat platform.Answers were completed by mobile phones or desktop computers.Each WeChat ID number allowed only one answer for each individual participant.Results A total of 3943 members red the questionnaire invitation,of which 2121 members completed the questionnaire with an overall completion rate of 53.79%.For checks completed before induction of anesthesia,the percentage of members who routinely practiced checks before induction of anesthesia was 93.35%,the percentage of members who completed each and every element of the checklist was 60.16%,and the percentage of members who selected the element of the checklist the surgeon was not involved in the check was 14.05%.For checks practiced before skin incision,the percentage of members who routinely completed checks before skin incision was 78.22%,the percentage of members who completed each and every element of the checklist was 51.91%,and the percentage of members who selected the element of the checklist surgeons and anesthesiologists routinely stated their own professional key information was 18.24%and 18.81%,respectively.For checks practiced before the patient leaved the operating room,the percentage of members who routinely completed checks before removing the patient from the operating room was 64.26%,and the percentage of members who completed each and every element of the checklist was 44.18%.The percentage of members who was really serious about practicing the checklist was 56.20%.The percentage of members who believed that surgeons sho

关 键 词：麻醉 手术安全核査表 

分 类 号：R614[医药卫生—麻醉学]