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[医疗保健专业人员对手术安全核对表实施情况及实用性的看法]

[The healthcare professional's perceptions on the implementation and usefulness of the surgical safety checklist].

作者信息

Rodrigo-Rincón M I, Tirapu-León B, Zabalza-López P, Martín-Vizcaino M P, de La Fuente-Calixto A, Villalgordo-Ortín P, Domench-Mañero L, Gost-Garde J

机构信息

Servicio de Medicina Preventiva y Gestión de la Calidad, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.

出版信息

Rev Calid Asist. 2011 Nov-Dec;26(6):380-5. doi: 10.1016/j.cali.2011.03.005. Epub 2011 May 14.

Abstract

OBJECTIVE

To find out the perception of the health care professionals on the level of implementation and the usefulness of the surgical safety checklist (LVQ) after its introduction in a tertiary care hospital.

MATERIAL AND METHOD

A descriptive cross-sectional study was conducted using a specially designed self-completion questionnaire. This consisted of 5 questions on the usefulness, 5 questions on the use of the LVQ, one open question and 4 control questions. The target population was hospital surgeons, anaesthetists, ward nurses, and surgical nurses.

RESULTS

The response rate was 73%, ranking from 51% to 88% depending on the respondent profile. Almost all (95.7%) of the respondents declared they always or almost always used the LVQ when performing a surgical operation. The health care professionals rated the usefulness of the LVQ with a mean of 6.6 (scale, 1-10); 11.6% mentioned that actual errors had been avoided through the use of the LVQ; 32.5% considered the LVQ as a tool that improves communication between professionals; and 68% of the respondents declared they would like the LVQ to be used if they were surgical patients. Those respondents who answered that the LVQ had prevented errors gave higher usefulness scores, 1.4 above the mean. In this same group, 100% of the respondents would like the LVQ to be used on themselves and 63.2% considered that communication had improved. There were no differences in usefulness scores as regards professional experience or gender.

CONCLUSIONS

The health care professionals use the LVQ very frequently, and consider that it has a moderate usefulness. Those professionals with experience of the LVQ preventing errors considered it to be more useful than those who did not experience an error being prevented.

摘要

目的

了解三级医院引入手术安全检查表(LVQ)后,医护人员对其实施水平和实用性的看法。

材料与方法

采用专门设计的自填式问卷进行描述性横断面研究。问卷包括5个关于实用性的问题、5个关于LVQ使用情况的问题、1个开放性问题和4个控制问题。目标人群为医院外科医生、麻醉师、病房护士和手术护士。

结果

回复率为73%,根据受访者类型,回复率在51%至88%之间。几乎所有(95.7%)的受访者表示,他们在进行手术时总是或几乎总是使用LVQ。医护人员对LVQ实用性的评分平均为6.6(满分10分);11.6%的人提到通过使用LVQ避免了实际错误;32.5%的人认为LVQ是一种改善专业人员之间沟通的工具;68%的受访者表示,如果他们是手术患者,希望使用LVQ。那些回答LVQ避免了错误的受访者给出了更高的实用性评分,比平均分高1.4分。在同一组中,100%的受访者希望自己使用LVQ,63.2%的人认为沟通得到了改善。在实用性评分方面,专业经验或性别没有差异。

结论

医护人员非常频繁地使用LVQ,并认为其具有一定的实用性。那些有LVQ避免错误经验的专业人员认为它比没有经历过错误被避免的人更有用。

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