基于眼科特点再造手术安全核查流程的应用效果分析

Application and effects of the reproduced surgical safety verification process with ophthalmic characteristics

目的 :手术铺巾的规范性和准确性直接关系到手术眼别的正确性,本研究拟再造手术铺巾这一手术安全核查的重点流程,完善并建立手术室安全管理模式。方法 :对2019年3月1日—31日未规范执行流程的32例手术铺巾进行根本原因分析,并结合眼科特点制定改进措施,再造手术安全核查流程。结果 :再造流程持续标准化实施6个月后,未规范执行手术铺巾发生率由再造前的3.32%下降至再造后的0.40%,差异有统计学意义(P<0.001)。结论 :基于眼科手术特点再造后的手术安全核查流程可有效降低未规范执行的手术铺巾发生率,进一步保障手术安全。

Objective: The standardization and accuracy of operating drape methods are directly related to the precision of the surgical eye. This study intends to reproduce the key procedure of surgical safety verification to establish and perfect the safety management model of the operation room. Methods: Carry out root cause analysis for 32 non-standard operating drape happened from March 1 to March 31, 2019. According to the characteristics of ophthalmology, the improvement measures were made to reproduce the operation safety verification process. Results: After the improvement measures were performed for six months, the incidence of non-standard operating drape decreased from 3.32% to 0.40% with the difference being statistically significant(P<0.001). Conclusion: The reproduced procedure of surgical safety verification based on the characteristics of ophthalmic surgery could effectively reduce the incidence of non-standard operating drape and further ensure the surgical safety.