医护一体化管理在我院手术部位标识中的应用

Application of nurse-physician collaboration in identification of surgical sites in the hospital

目的：加强手术部位标识的管理，使之符合国家有关手术部位标识管理的规定。方法成立医护一体化专项管理小组，调查各手术科室术前不规范使用手术部位标识的现状，并分析其原因，提出对策。医护人员共同制定术前手术部位标识的管理细节，流程再造，明确责任，加强培训，由手术医师、病区护士、麻醉医师和手术室护士共同监督、把关、反馈、改进。对整改前后手术部位标识不合理例数进行统计。结果整改前术前手术部位合格标识率为37.94%，整改后合格标识率为80.94%；各种类型的手术部位标识使用不合格均可通过整改措施得到降低。结论实施医护一体化管理在手术部位标识方面有助于手术正确、规范地开展，提升医疗护理质量。

Objective To enhance the management in identifying the surgical sites to comply with national standards.Methods A nurse-physician collaboration management team was set up to investigate the current identification of surgical sites in every operating room which violates regulations,with the causes analyzed and countermeasures proposed.Working hand in hand,doctors and nurses figured out the management details for preoperatively identifying the surgical sites and reengineering of the surgical process.With the responsibilities clarified and training enhanced,the surgeons,anesthesiologists,ward nurses and operating room nurses were held responsible for the process and improvements of identifying the surgical sites.The number of patients with unreasonable identification of surgical sites was calculated before and after establishment of nurse-physician collaboration management team.Results The reasonable identification rates of surgical sites were 37.94% before the reform and 80.94% after;incorrect use of all types of the surgical site identification can be minimized in the reform.Conclusion The management of nurse-physician collaboration is conducive to enhancing the reasonable identification rate of surgical sites,thus improving the quality of care and correctness of operations.