电子化术前准备核查表的设计与应用

The design and application of electronic preoperative preparation checklist

目的 设计和制订电子化术前准备核查表,应用于手术患者的术前准备工作中,减少术前准备及术前交接的缺项漏项的发生率,提高医患满意度,防止手术延误或各种医疗纠纷事故.方法 将2013年3月至2014年2月手术患者145例作为试验组,将2012年3月至2013年2月手术患者158例作为对照组,试验组采用电子化术前准备核查表进行术前准备及交接工作,对照组采用常规方式,比较2组患者在术前准备及术前交接缺项漏项的发生率及手术医生和手术患者对护理工作的满意度.结果 试验组运用电子化术前准备核查表后,在术前准备及术前交接项目中缺项漏项发生率分别为1.37％(2/145)、4.83％(7/145),对照组分别为6.33％(10/158)、11.39％(18/158),2组比较差异有统计学意义(x2=4.870、4.305,P＜0.05).试验组手术医生及手术患者对护理工作的满意度分别为100.00％(50/50)、97.93％(142/145),对照组分别为90.00％(45/50)、90.51％(143/158),2组比较差异有统计学意义,(x2=5.263、7.459,P＜0.05).结论 实施电子化术前准备核查表,是保证术前准备工作完善的重要手段,降低了术前准备工作缺项漏项发生率,有效保证了患者手术如期进行及手术安全,减少护理缺陷,提高护理工作效率和质量,值得临床推广应用.

Objective To design and formulate a electronic preoperative preparation checklist for applying in the preoperative preparation,to reduce missing rate in preoperative preparation and transfer,to improve patient satisfaction,to avoid operation delay and medical accident caused by inappropriate preparation.Methods A total of 145 patients with surgery from March 2013 to February 2013 were as experimental group,and 158 patients with surgery from March 2012 to February 2012 were as control group.The experimental group was used electronic preoperative preparation checklist for preoperative preparation and transition,and the control group was used conventional methods.The incidence of mistake for preoperative preparation and transfer and both surgeon's and patient's satisfactory were compared between two groups.Results After applying the electronic preoperative preparation checklist,the incidence of mistake for preoperative preparation and transfer in experimental group reduced significandy to 1.37％(2/145) and 4.83％ (7/145),compared with the incidence of control group 6.33％(10/158),11.39％(18/158),and the differences between two groups were statistically different (x2=4.870,4.305,P ＜ 0.05).Both surgeon's and patient's satisfactory were improved dramatically,the satisfactory in experimental group improved to 100.00％(50/50)and 97.93％(142/145),compared with the satisfactory of control group 90.00％(45/50) and 90.51％(143/158),and the differences between two groups were statistically different(x2=5.263,7.459,P ＜ 0.05).Conclusions Implementing the electronic preoperative preparation checklist can reduce the incidence of mistake before operation and ensure patient operation schedule.Therefore,it could improve nursing care quality and efficiency.