Hurlbert Scott N, Garrett Jill
Memorial Health System, 1400 E, Boulder St, Colorado Springs, CO 80909, USA.
Patient Saf Surg. 2009 Nov 20;3(1):25. doi: 10.1186/1754-9493-3-25.
Despite the introduction of the Universal Protocol, patient safety in surgery remains a daily challenge in the operating room. This present study describes one community health system's efforts to improve operating room safety through human factors training and ultimately the development of a surgical checklist. Using a combination of formal training, local studies documenting operating room safety issues and peer to peer mentoring we were able to substantially change the culture of our operating room. Our efforts have prepared us for successfully implementing a standardized checklist to improve operating room safety throughout our entire system. Based on these findings we recommend a multimodal approach to improving operating room safety.
尽管引入了《通用协议》，但手术中的患者安全仍是手术室每天面临的挑战。本研究描述了一个社区卫生系统通过人为因素培训以及最终制定手术清单来提高手术室安全性的努力。通过正式培训、记录手术室安全问题的本地研究以及同行之间的指导相结合，我们能够大幅改变手术室的文化。我们的努力使我们为在整个系统成功实施标准化清单以提高手术室安全性做好了准备。基于这些发现，我们建议采用多模式方法来提高手术室安全性。
