膝胸位手术麻醉质量自查及整改分析  

Self-examination and rectification analysis of anesthesia quality of genupectoral position surgery

作　　者：唐霞[1] 夏瑞[2] 李炜[1] 任传蔚 钟华 TANG Xia;XIA Rui;LI Wei;REN Chuanwei;ZHONG Hua(Gongan County People’s Hospital,Jingzhou 434300,China)

机构地区：[1]公安县人民医院,湖北公安434300 [2]荆州市第一人民医院,湖北荆州434000

出　　处：《现代医院》2022年第2期316-318,321,共4页Modern Hospitals

基　　金：国家重点研发计划(2020YFC2009002)。

摘　　要：目的通过对膝胸位手术麻醉质量自查分析,利用相关管理工具,探讨其发生的原因,针对原因进行可行性分析并制定整改措施。方法回顾2020年麻醉科全年膝胸位手术资料,并对当年每日麻醉质量自查进行汇总分析。结果通过手术麻醉系统查阅2020年全年膝胸位手术共计467台次,麻醉质量自查缺陷215例次。经根因分析和整改措施可行性评估后显示可调整麻醉方案来降低此类事件的发生。结论以问题为导向,坚持麻醉质量自查,合理利用管理工具,可降低麻醉风险,持续提升麻醉质量管理水平。另通过整改试验充分说明低浓度蛛网膜下腔阻滞可安全应用于膝胸位手术的麻醉。Objective In order to improve the quality of anesthesia used in operations at knee-chest position,this research utilized relevant management tools to reexamine the historical operations to find out reasons of flaws.After that and feasibility analysis of the causes,improvement measures were possible to be put forward.Methods First we reviewed the data of anesthesia used in operations at knee-chest position in 2020.And then data of self-examinations of the anesthesia quality each day were collected and analyzed.Results After browsing the surgical anesthesia system,we found 467 surgeries using anesthesia at knee-chest position in 2020,among which there were 215 flaws in the quality of anesthesia.The root cause analysis and feasibility assessment of possible measurements showed that the flaws could be reduced by adjusting the quality of anesthesia.Conclusion The problem-oriented self-examination of the quality of anesthesia can reduce anesthesia risks and consistently improve the anesthesia quality management by reasonably employing management tools.In addition,the rectification test fully shows that subarachnoid block of low concentration can be safely applied to anesthesia at knee-chest position.

关 键 词：低浓度罗哌卡因 蛛网膜下腔 麻醉质控 骶管麻醉 

分 类 号：R197.323.4[医药卫生—卫生事业管理] R614[医药卫生—公共卫生与预防医学]