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降低肝癌患者腹腔镜肝切除术后并发症发生率

Reducing the Incidence of Complications after Laparoscopic Hepatectomy in Patients with Liver Cancer

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成立医、护、技、管多学科协作团队,针对降低肝癌患者腹腔镜肝切除术后并发症发生率开展品管圈活动.建立了术前、术中、术后 3 大创新改进策略,包括:创建"FLAG"评估策略,精准预测残肝功能,精确规划手术方案;构建"4D"策略,精准切除肿瘤病灶,精确控制术中出血;创建"4P"策略,精准预测术后风险,精确实施风险管理.通过改进,肝癌患者腹腔镜肝切除术后并发症发生率从 22.76%降低至 7.09%,促进了患者快速康复,降低了医疗风险.
A multidisciplinary team of medicine,nursing,technology and management was established to carry out quality control circle activities aimed at reducing the incidence of complications after laparoscopic hepatectomy in patients with liver cancer.Three innovative improvement strategies were established before operation,during operation and after operation,including:creating a"FLAG"evaluation strategy,accurately predicting residual liver function,and accurately planning surgical programs;establishing the"4D"strategy to accurately remove tumor lesions and accurately control intraoperative bleeding;creating a"4P"strategy to ac-curately predict postoperative risks and accurately implement risk management.Through the improvement,the complication rate of patients with liver cancer after laparoscopic hepatectomy was reduced from 22.76%to 7.09%,which promoted the rapid recovery of patients and reduced the medical risk.

Quality Control CircleProblem Solving Quality Control CircleLiver CancerLaparoscopic HepatectomyComplication

张英、郭敬、郑璐、尤楠、杨凤霞、陈锦

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陆军军医大学第二附属医院 重庆 400037

品管圈 问题解决型品管圈 肝癌 腹腔镜肝切除术 并发症

重庆市科卫联合医学科研项目面上项目陆军军医大学人文社科基金项目

2023MSXM0042022XRW17

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(1)
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