徐州市某综合医院手术部位标记执行情况现状调查分析

Investigation on implementation of surgical site marking in a general hospital in Xuzhou

目的：通过调查徐州市某综合医院手术部位标记执行情况,探讨影响手术部位标记准确性的影响因素。方法采用自制？医护人员手术部位标记认知调查问卷？？手术部位标识执行评价表？对110名医护人员进行调查,并对1762例手术患者2428个手术部位标识情况进行评价。结果2428个手术部位中,手术部位标记率70.55％,标识准确率81.10％,总评分（14.64±1.50）分；677例无标识,占27.88％；出现完整性错误188例（7.42％）、有效性错误75例（3.09％）、准确性错误32例（1.32％）、执行出错36例（1.48％）；84.54％的医护人员认为手术标识有助于手术安全,51.82％的医护人员认为手术标识不能满足临床手术需要,88.18％的医护人员认为有必要完善手术标记制度；不同年龄、工作年限、职称手术部位标记评价差异有统计学意义（t/F值分别为3.260,16.348,2.951；〈0.05）。结论手术部位标识执行情况有待改善,缺乏统一标准的标识制度,执行率低,标准有效性需进一步提高。

Objective To investigate implementation of surgical site marking in a certain general hospital in Xuzhou, and to explore factors affecting accuracy of surgical site marking. Methods 110 medical workers were surveyed by self-made “Questionnaire of awareness of surgical site marking of medical workers”and “Evaluation form of implementation of surgical site marking”. Evaluation was also conducted to 1 762 surgical patients with 2 428 cases of marking. Results Among the 2 428 surgical sites, marking rate was 70. 55%, with rate of accurate marking 81. 10% and a total score of （ 14. 64 ± 1. 50） points; 677 cases were without markings, accounting for 27.88%;188 cases （7.42%） were with errors of integrity, 75 cases （3.09%） with errors of effectiveness, 32 cases （1.32%） with errors of accuracy, and 36 cases （1.48%） with errors of implementation;84. 54% of the medical workers believed surgical markings were helpful to surgery safety, 51. 82% found surgical makings could not meet the needs of clinical surgery, and 88.18% thought it necessary to improve surgical marking system; evaluations by medical workers of different ages, working years and professional titles were statistically significant （t/F=3.260, 16.348, 2.951; P〈0.05）. Conclusions Due to lack of a unified standard marking system, low implementation rate and effectiveness of the standard, implementation of surgical site marking still needs to be improved.