SHEL模式在腔镜手术物品清点安全管理中应用探析  

Investigation of the Application of SHEL Model in the Safe Management of Lumpectomy Item Inventory

作　　者：汤婷 TANG Ting(Operating Room,Jiujiang College Hospital,Jiujiang,Jiangxi,332000,China)

机构地区：[1]九江学院附属医院手术室,江西九江332000

出　　处：《黑龙江医学》2023年第12期1495-1497,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨SHEL模式在腔镜手术物品清点安全管理中应用。方法:选取2016年1月—2020年12月九江学院附属医院接受腔镜手术的80例患者,按照随机数表法分为常规组(n=40)和试验组(n=40),常规组使用传统管理方式,试验组使用SHEL模式。对比两组患者物品清点差错率、各项考核成绩、器械管理质量变化。结果:试验组术前物品清点差错率2.50%(1/40)低于常规组20.00%(8/40),差异有统计学意义(χ^(2)=4.507,P<0.05);试验组术中物品清点差错率0%(0/40)低于常规组15.00%(6/40),差异有统计学意义(χ^(2)=4.505,P<0.05);试验组人员理论知识、实践操作成绩分值高,且试验组器械准备齐全率100.00%(40/40)高于常规组77.50%(31/40),差异有统计学意义(t=4.489、5.036;χ^(2)=8.013,P<0.05);与常规组比较,试验组器械分类、数量完善、器械回收率、交接步骤分数较高,差异有统计学意义(t=14.906、11.402、11.719、19.487,P<0.05)。结论:SHEL模式在接受腔镜手术患者中可以降低物品清点差错率,加强各项考核成绩,提高器械管理质量。Objective:To explore the application of the SHEL model in the safe management of lumpectomy item counts.Methods:80 patients undergoing lumpectomy in the hospital from January 2016 to December 2020 were selected and divided into conventional(n=40)and experimental groups(n=40)according to the random number table method.The conventional group used the traditional management method and the experimental group used the SHEL model.The rate of error in counting items,the performance of various assessments,and the change in the quality of device management were compared between the two groups.Results:The error rate of preoperative item inventory in the test group was 2.50%(1/40),which was lower than 20.00%(8/40)in the conventional group,and the difference was statistically significant(χ^(2)=4.507,P<0.05).The intraoperative item count error rate in the test group was 0(0/40),which was lower than 15.00%(6/40)of the conventional group,and the difference was statistically significant(χ^(2)=4.505,P<0.05).Compared with the conventional group,the personnel in the experimental group had high scores of theoretical knowledge and practical operation,and the rate of complete preparation of instruments in the experimental group was 100.00%(40/40),which was higher than 77.50%(31/40)in the conventional group,and the difference was statistically significant(t=4.489,5.036,χ^(2)=8.013,P<0.05).Compared with the conventional group,the experimental group had higher device classification,perfect number,device recovery rate,and handover step scores,with statistically significant differences(t=14.906,11.402,11.719,19.487,P<0.05).Conclusion:The SHEL model in patients undergoing lumpectomy can reduce the rate of item counting errors,enhance the performance of various assessments,and improve the quality of instrument management.

关 键 词：腔镜手术 SHEL模式 物品清点 安全管理 

分 类 号：R472.3[医药卫生—护理学]