摘要
Objective:This study aimed to describe the implementation of the surgical safety check policy and the surgical safety checklist for invasive procedures outside the operating room(OR)and evaluate its effectiveness.Methods:In 2017,to improve the safety of patients who underwent invasive procedures outside of the OR,the hospital quality and safety committee established the surgery safety check committee responsible for developing a new working plan,revise the surgery safety check policy,surgery safety check Keywords:Invasive procedures outside the operating room Safety management Surgical safety checklist Patient safety form,and provide training to the related staff,evaluated their competency,and implemented the updated surgical safety check policy and checklist.The study compared the data of pre-implementation(Apr to Sep 2017)and two post-implementation phases(Apr to Sep 2018,Apr to Sep 2019).It also evaluated the number of completed surgery safety checklist,correct signature,and correct timing of signature.Results:The results showed an increase in the completion rate of the safety checklist after the program implementation from 41.7%(521/1,249)to 90.4%(3,572/3,950),the correct rates of signature from 41.9%(218/521)to 99.0%(4,423/4,465),and the correct timing rates of signature from 34.4%(179/521)to 98.5%(4,401/4,465),with statistical significance(P<0.01).Conclusion:Implementing the updated surgery safety check significantly is a necessary and effective measure to ensure patient safety for those who underwent invasive procedures outside the OR.Implementing surgical safety checks roused up the clinical staff's compliance in performing safety checks,and enhanced team collaboration and communication.
目的制订并应用手术室外有创操作安全核查方案,并评价其应用效果。方法2017年,医院质量和安全委员会为了提高在手术室外进行有创操作时患者的安全,成立有创操作安全委员会,采取制订工作计划、修改安全核查制度和表格、对相关医务人员进行培训等一系列措施。对比方案实施前(2017年4-9月)、方案实施后2个阶段(2018年4-9月;2019年4-9月)有创操作安全核查表使用率、签名符合率及签名时间的准确率。结果方案实施后,手术室外有创操作安全核查表的使用率由实施前的41.7%(521/1,249)提升至实施后90.4%(3,572/3,950)(2018年4-9月),签名符合率从41.9%(218/521)提升至99.0%(4,423/4,465)(2019年4-9月),签名时间的正确率从34.4%(179/521)提升至98.5%(4,401/4,465)(2019年4-9月),差异有统计学意义(P<0.01)。结论此方案可有效提升手术室外有创操作患者安全,起到监管作用,同时也提升了医务人员对手术室外有创操作安全核查的重视及团队间的合作与沟通。
