电子体外循环安全核查表的应用与效果分析  

Effect analysis of the application of electronic checklist in cardiopulmonary by⁃pass

作　　者：彭勤宝 孟维朋 官莉[1] 刘亚湘[1] 杜松林[1] 郑少忆[1] Peng Qinbao;Meng Weipeng;Guan Li;Liu Yaxiang;Du Songlin;Zheng Shaoyi(Department of Cardiovascular surgery,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]南方医科大学南方医院心血管外科,广州510515

出　　处：《中国体外循环杂志》2020年第6期355-359,共5页Chinese Journal of Extracorporeal Circulation

基　　金：国家自然科学基金资助项目(816003212);广州市科技计划项目(201804010067)。

摘　　要：目的探讨电子体外循环安全核查表的临床应用效果。方法回顾性分析2017年1月至2019年12月共1238例患者,根据使用核查表的方式分为电子组(n=455)和传统组(n=783),比较两组在体外循环过程中不良事件的发生情况。结果两组患者基线可比,1238例手术中记录各类不良事件共159件,发生率为12.84%,其中电子组455例中记录73件,发生率为16.04%,传统组记录86件,发生率为10.98%,两组间比较差异具有统计学意义(P<0.01);电子组中未造成不良后果事件(Ⅲ类事件)发生率显著低于传统组[9(1.9%)vs.31(4%)],而在隐患事件(Ⅳ类事件)的检出率高于传统组[63(13.5%)vs.54(6.9%)]。结论体外循环电子核查表实施简单有效,有助于灌注师及时发现并处理各类体外循环不良事件,以保障患者安全。Objective To explore the effect of the application of electronic checklist in cardiopulmonary bypass(CPB).Methods From January 2017 to December 2019,1238 patients underwent CPB were collected and analyzed retrospectively.They were divided into the electronic group(Group E,n=455)whose checklist were developed based on the electronic record system and the traditional group(Group T,n=783)whose checklists were finished on papery.The incidence of adverse events(AE)during CPB were compared between the two groups.Results The baseline data were comparable between the two groups.There were 159 AE(12.84%)occured in those patients.The incidence of AE had statistical significance between the two groups(Group E vs Group T,73(16.4%)vs 86(10.98%),P<0.01).The type of AE was defined as:①typeⅠ(fatal)②typeⅡ(severe)③typeⅢ(moderate)④typeⅣ(mild)according to the degree.We found that the incidence of the typeⅢAE in Group E was significantly lower than that of Group T(Group E vs Group T,9(1.9%)vs 31(4%))and the detection rate of the typeⅣAE was significantly higher than that of Group T(Group E vs Group T,63(13.5%)vs 54(6.9%)).Conclusion The implementation of the electronic checklist is simple and effective.The perfusionists could find the potential danger of CPB timely and handle it properly by applying electronic checklist me⁃ticulously and improve the safety of the patients.

关 键 词：电子核查表 体外循环 质量控制 安全 

分 类 号：R654.1[医药卫生—外科学]