2018年克尔曼沙医科大学入选医院手术室手术安全检查清单原则实施情况评价

F. Jalalvandi, M. Rostami, S. Nosrati, Reza Feyzi, Amirmasood Koshki
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引用次数: 0

摘要

背景:虽然手术是为了改善患者的病情,但它可能使每个接受手术的人面临无法修复的术后并发症的风险。手术安全检查表的应用是减少术后并发症的一种方法。目的:本研究旨在评价2018年克尔曼沙医科大学选定医院手术室手术安全检查表的实施情况。方法:采用基于手术安全检查表设计的检查表进行横断面描述性研究,随机选择2018年1月至5月在克尔曼沙阿医科大学附属医院进行的150例手术。结果:调查结果显示,所选医院的手术室安全手术标准执行率为77.1%。77.48%的手术安全标准在麻醉前执行,74.8%的手术安全标准在麻醉后及切口前执行,79.33%的手术安全标准在缝合至患者出手术室后执行。t检验结果显示,不同手术室对手术安全检查表的执行情况差异有统计学意义(P < 0.05)。结论:安全手术标准的执行水平较低。因此,有必要采取具体措施,说明该检查表项目的重要性,并制定教育计划,向外科工作人员说明患者在手术室安全的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Implementation the Principles of Surgical Safety Checklist in Operating Rooms of the Selected Hospital of Kermanshah University of Medical Sciences in 2018
Background: Although surgery is done for improving the patient’s condition, it can put every individual that undergoes surgery at risk of irreparable postoperative complications. One way to decrease the post-surgery complications is apply of surgical safety checklist. Objectives: This study aimed to evaluate the implementation of surgical safety checklist in operating rooms of the selected hospital of Kermanshah University of Medical Sciences in 2018. Methods: This cross sectional descriptive study was done by a checklist designed based on the surgical safety checklist on randomly selected 150 operations, in the selected hospital of Kermanshah University of Medical Sciences between January and May 2018. Results: According to the findings, 77.1% of the safe surgery standards are observed in the operating rooms of the selected hospital. 77.48% of the safe surgery standards are observed before anesthesia, 74.8% of the standards are observed after anesthesia and before incision, and 79.33% of the standards are observed after suturing the wound until getting the patient out of the operating room. The results of t-test showed that there is a significant difference between different operating rooms in terms of the implementation of surgical safety checklist (P < 0.05). Conclusions: The findings show that implementation level of safe surgery standards was low. So, it's necessary to take specific measures for explain the importance of the items of this checklist and developing educational programs to explain the importance of the patients’ safety in operating rooms for the surgical staff.
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