Nakano Yaemi
Department of Safety Management, Tokyo Medical University Hospital, Tokyo, Japan.
Kyobu Geka. 2008 Aug;61(9):785-92.
The primary risk management, on the side of a nurse, in the operating room includes prevention of misidentificatin of both the patient and the site of operation. Leaving of a foreign body in the patient, falling of the patient from the operating table, incidence of deep venous thrombosis and mismatch of blood transfusion should also be prevented with utmost care. The long operating time in cardiovascular surgery and the lateral position of the patient on the operating table in chest or esophageal surgery require additional risk management. Risks of pressure sore as well as nervous injury can be prevented by fixing the patient securely with soft pads to maintain comfortable posture. Above all, careful watching of the patient's condition is most important.
护士在手术室的主要风险管理包括防止患者和手术部位的错误识别。还应极其小心地防止异物遗留在患者体内、患者从手术台上跌落、深静脉血栓形成以及输血不匹配。心血管手术的长时间手术以及胸部或食管手术中患者在手术台上的侧卧位需要额外的风险管理。通过用软垫牢固固定患者以保持舒适姿势，可以预防压疮和神经损伤的风险。最重要的是，密切观察患者的病情最为重要。
