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与手术物品清点错误相关的风险因素。

Risk factors associated with incorrect surgical counts.

作者信息

Rowlands Aletha

机构信息

School of Nursing, West Virginia University, Morgantown, WV, USA.

出版信息

AORN J. 2012 Sep;96(3):272-84. doi: 10.1016/j.aorn.2012.06.012.

Abstract

Incorrect surgical counts after surgery are a perplexing problem for nurses working in the perioperative environment. To determine factors associated with an incorrect surgical count, this cross-sectional, correlational study examined explanatory variables (eg, patient and nurse characteristics, intraoperative circumstances, staff involvement) by using data abstracted from perioperative medical records and primary data collected from perioperative nurses. In the final multivariate analysis, six variables were significantly associated with an incorrect surgical count: a higher surgical risk, a lower body mass index, a complicated procedure, an unplanned procedure, an increased number of perioperative personnel involved, and an increased number of specialty teams involved.

摘要

术后手术物品清点错误对于在围手术期工作的护士来说是一个令人困惑的问题。为了确定与手术物品清点错误相关的因素,这项横断面相关性研究通过使用从围手术期医疗记录中提取的数据以及从围手术期护士收集的原始数据,对解释变量(如患者和护士特征、术中情况、工作人员参与情况)进行了检查。在最终的多变量分析中,六个变量与手术物品清点错误显著相关:较高的手术风险、较低的体重指数、复杂的手术、非计划性手术、参与围手术期的人员数量增加以及参与的专科团队数量增加。

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