提高手术安全核查规范执行率

Improving Complete Implementation Rate of Surgical Safety Verification

目的提高手术安全核查完整执行率。方法手术部位标识不正确、表单未完整填写、手术三方未同时核查为手术安全核查完整执行率低的主要症结。对其分别运用鱼骨图、5-3-1评价法、真因验证表进行分析,认为标识形状各异、标识制度不规范、表单设计不合理等6项原因为真因。对此,运用头脑风暴法多方拟定对策,从修订手术标识制度、设计新的手术安全核查表、修订手术安全核查制度及流程3方面改进。结果手术安全核查完整执行率从20.33%提高至87.67%。结论通过品管圈活动的持续改进,手术安全核查完整执行率显著提升,对确保正确的手术部位、操作和患者具有重要意义。

Objective To improve the complete implementation rate of surgical safety verification. Methods The incorrect identification of the surgical site, the incompletely filled form, and no simultaneously verification by the three-party of surgery were the improvement key points. The fishbone diagram, the 5-3-1 evaluation method, and the true cause verification table were used for analysis. The real reasons included six aspects, such as different shapes of identification systems, the unstandardized labeling system, and the unreasonable designed form, etc. In this regard, the brainstorming method was used to formulate countermeasures, and the improvement was made from three aspects of the revision of the surgical marking system, the design of a new surgical safety checklist, and the revision of the surgical safety verification system and the process. Results The complete implementation rate of surgical safety verification was increased from 20.33% to 87.67%. Conclusion Through the continuous improvement by the quality control circle activity, the complete implementation rate of surgical safety verification had been significantly improved, which was of great significance to ensure the correct operation site, operation and patient.