标准作业程序在术前交接转运工作流程管理中的应用  

Standard Operating Procedure in the management of patient preoperative handover and transfer process

作　　者：段红霞 王秀梅 郭越 杨荣卓 马佳楚 裴宇权[2] DUAN Hongxia;WANG Xiumei;GUO Yue;YANG Rongzhuo;MA Jiachu;PEI Yuquan(Operating Room,Shanxi Bethune Hospital,Taiyuan,030032,China)

机构地区：[1]山西白求恩医院手术室,太原市030032 [2]北京大学肿瘤医院手术室

出　　处：《中国护理管理》2022年第12期1860-1865,共6页Chinese Nursing Management

基　　金：国家卫生健康委医药卫生科技发展研究中心课题(WA2020RW22)。

摘　　要：目的:分析标准作业程序(SOP)在患者术前交接转运工作流程管理中的应用效果。方法:科室质量控制小组找出患者术前交接转运工作流程中存在的主要问题,成立SOP项目小组,编制项目编码,收集资料,绘制流程图,填写4W1H表格,制作SOP文档,组织实施,评价效果。结果:SOP应用后患者身份确认规范执行率、双人交接规范执行率明显提高(P<0.05);责任护士术前准备项目缺失率、术中携带物品漏带事件发生率显著下降(P<0.05)。结论:将SOP应用于患者术前交接转运流程管理可确保参与此工作流程的全部工作人员均依据SOP文档标准化工作,避免接错手术患者,确保患者安全,术前准备完善,物品交接不漏项,工作质量得到提升。Objective:To analyze the application effect of Standard Operating Procedure(SOP)in the management of patient preoperative handover and transfer process.Methods:The quality control group found out the main problems existing in the preoperative handover and transfer process and established the SOP project team for the preoperative handover and transfer of surgical patients.Then the team compiled project codes,collected data,drew the preoperative handover and transfer flow chart,used the 4W1H form to formulate the operation steps,drew up an implementation plan,organized the implementation,and evaluated the effect.Results:After the application of SOP,the implementation rate of patient identity confirmation norms and double handover norms increased significantly(P<0.05).The defect rate of preoperative preparation by responsible nurses and the incidence of missing items decreased significantly(P<0.05).Conclusion:The application of SOP can ensure that all staff involved in this work process standardize their work according to the SOP workbook,avoid wrongly accepting patients for surgery,and ensure patient safety.It also makes sure that the preoperative preparations are complete and items are handed over without missing items.As a result,it improves the quality of work.

关 键 词：标准作业程序 术前交接转运 工作流程管理 患者身份识别 术前准备 患者安全 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]