首页|建立手术室患者安全防范机制的探讨

建立手术室患者安全防范机制的探讨

扫码查看
手术室患者安全面临多维度挑战,主要包括沟通不畅、认知偏差导致的决策错误、技术操作失误等.为应对这些问题,医疗机构需采取结构化沟通技巧,利用闭环交流和标准化核查流程减少差错.认知差错管理重视决策过程分析与纠正,辅以技术手段辅助高难度手术操作.此外,实施严格的仪器检查、召开安全核查简会及进行术后总结,对预防错误至关重要.非技术性技能培养,比如减少手术干扰、保持高度情境意识及有效管理疲劳也是重要环节.针对特定风险,如手术部位混淆、用药错误及手术相关伤害,需制定专门防控策略.通过建立健全事件报告系统、遵循最佳循证实践、开展团队培训和模拟演练,可进一步巩固安全文化,全面提升手术室安全管理水平.
Discussion on the Establishment of Patient Safety Prevention Mechanism in Operating Room
Patient safety in the operating room faces multi-dimensional challenges,mainly including poor communication,decision-making errors caused by cognitive bias,and technical operation errors,etc.To address these issues,healthcare organizations need to adopt structured communication skills with closed-loop communication and standardized verification processes to reduce errors.Cognitive error management attaches importance to the analysis and correction of decision-making process,and is supplemented by technical means to assist difficult surgical operations.In addition,strict instrument inspection,the implementation of safety verification briefings and post-operation summaries are essential to prevent errors.Non-technical skill development,such as reducing surgical distractions,maintaining a high level of situational awareness and effectively managing fatigue,is also important.Specific risks,such as surgical site confusion,medication errors and surgery-related injuries,require specific prevention and control strategies.By establishing a sound incident reporting system,following best evidence-based practices,and conducting team training and simulation exercises,the safety culture can be further consolidated and the operating room safety management level can be comprehensively improved.

Operating room patient safetyStructured communicationCognitive bias managementTechnical and non-technical skills:Risk management strategy

罗丽、刘鑫、关诚君、赵微、马敬霞、许战武、张宏志

展开 >

解放军联勤保障部队第961医院手术室,黑龙江 齐齐哈尔 161000

解放军联勤保障部队第961医院骨科,黑龙江 齐齐哈尔 161000

解放军联勤保障部队第961医院门诊部,黑龙江 齐齐哈尔 161000

解放军联勤保障部队第962医院消毒供应室,黑龙江 哈尔滨 150086

解放军联勤保障部队第962医院骨科,黑龙江 哈尔滨 150086

展开 >

手术室患者安全 结构化沟通 认知偏差管理 技术性与非技术性技能 风险管理策略

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(20)