黑龙江医学2024,Vol.48Issue(20) :2504-2507.DOI:10.3969/j.issn.1004-5775.2024.20.022

建立手术室患者安全防范机制的探讨

Discussion on the Establishment of Patient Safety Prevention Mechanism in Operating Room

罗丽 刘鑫 关诚君 赵微 马敬霞 许战武 张宏志
黑龙江医学2024,Vol.48Issue(20) :2504-2507.DOI:10.3969/j.issn.1004-5775.2024.20.022

建立手术室患者安全防范机制的探讨

Discussion on the Establishment of Patient Safety Prevention Mechanism in Operating Room

罗丽 1刘鑫 1关诚君 2赵微 3马敬霞 4许战武 5张宏志5
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作者信息

  • 1. 解放军联勤保障部队第961医院手术室,黑龙江 齐齐哈尔 161000
  • 2. 解放军联勤保障部队第961医院骨科,黑龙江 齐齐哈尔 161000
  • 3. 解放军联勤保障部队第961医院门诊部,黑龙江 齐齐哈尔 161000
  • 4. 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
  • 5. 解放军联勤保障部队第962医院骨科,黑龙江 哈尔滨 150086
  • 折叠

摘要

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.

Abstract

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.

关键词

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

Key words

Operating room patient safety/Structured communication/Cognitive bias management/Technical and non-technical skills:Risk management strategy

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出版年

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
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