手术室腔镜器械不良事件原因分析及防范措施

Analysis of the Causes and Preventive Measures for Adverse Events of Laparoscopic Instruments in the Operating Room

目的:分析手术室腔镜器械发生不良事件的原因,根据原因制定相应的防范措施,降低不良事件的发生率。方法:对2022年1月~12月667台手术的手术室腔镜器械使用情况及不良事件发生情况进行分析,探究不良事件发生原因;根据事件发生原因制定防范措施,建立专业小组,制定操作流程,加强细节管理等,在2023年1月~12月严格执行防范措施。结果:2023年严格执行防范措施腔镜器械不良事件发生率为0.30%,低于2022年腔镜器械不良事件发生率的1.50%,差异有统计学意义(P<0.05);零件脱落在腔镜器械不良事件发生种类中占比最高,但2022年与2023年腔镜器械不良事件发生种类比较,差异无统计学意义(P>0.05)。结论:分析手术室腔镜器械发生不良事件的原因并采取防范措施,能降低不良事件的发生率。

Objective:To analyze the causes of adverse events in the operating room endoscopic device,and to formulate corresponding preventive measures according to the causes to reduce the incidence of adverse events.Methods:Analyze the use of 667 surgeries from January to December 2022,explore the causes of adverse events;Formulate preventive measures according to the causes,establish professional teams,formulate operation procedures,strengthen detail management,and strictly implement preventive measures from January to December 2023.Results:In 2023,the incidence of adverse events related to endoscopic instruments was 0.30%,which was lower than the 1.50%incidence rate in 2022,and the difference was statistically significant(P<0.05);The proportion of component detachment was the highest among the types of adverse events of endoscopic instruments,but there was no statistically significant difference in the types of adverse events of endoscopic instruments between 2022 and 2023(P>0.05).Conclusion:Analyzing the causes of adverse events and taking preventive measures can reduce the incidence of adverse events.