新型冠状病毒肺炎疫情期间手术室在清单式管理下的安全防控护理质量

Safety control and nursing quality in operating rooms under checklist management during outbreak of coronavirus disease

目的探讨新型冠状病毒肺炎疫情期间手术室清单式管理的安全防控措施及流程,确保手术安全护理质量不受疫情影响。方法解读新型冠状病毒肺炎诊疗方案、新型冠状病毒肺炎防控方案以及医疗机构内新型冠状病毒肺炎感染预防与控制技术指南后,采用清单式管理对手术室护理工作进行细化、量化,形成各式清单,制定及完善手术安全防控措施及流程。结果防疫期间按清单项目正确实施手术,未发生手术护理安全不良事件,明确了不同岗位手术室护士的职责,完善了防疫期间工作制度及流程,保证了手术防护物资配备充足。结论在新型冠状病毒肺炎疫情期间,通过清单式管理可有效地调整手术室护理措施,优化工作流程,确保开展外科手术的同时,有效实施疫情防控,与实施清单式管理前相比,更好地提高了手术室工作效率和工作质量。

Objective To explore safety control measures and procedures for operating room checklist management during the outbreak of coronavirus disease 2019(COVID-19),and to ensure the quality of surgical safety and nursing care not affected by the epidemic.Methods Based on the COVID-19 diagnosis and treatment plan,the COVID-19 prevention and control plan,and technical guidelines on the prevention and control of COVID-19 in medical institutions,nursing care tasks in operating rooms were detailed and quantified,and various checklists were formulated to define and improve surgical safety prevention and control measures and procedures in operating rooms.Results During the epidemic,surgeries were succefully performed according to the checklist items,and no safty problems of surgical nursing were found.The checklists identified the respective responsibilities of nurses,improved the working system and workflow during the epidemic,and ensured sufficient supplies of surgical protection materials.Conclusion During the COVID-19 epidemic,checklist management can effectively adjust the nursing measures in operating rooms and optimize workflow.While ensuring surgical operations,it can effectively implement epidemic prevention and control,and improve the work efficiency and quality in operating rooms compared with previous work.