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[世界卫生组织《2009年外科手术安全核对表及安全手术指南》]

[WHO Surgical Safety Checklist and guideline for safe surgery 2009].

作者信息

Nishiwaki Kimitoshi, Ichikawa Takao

出版信息

Masui. 2014 Mar;63(3):246-54.

Abstract

The World Health Organization (WHO) launched the Safe Surgery Saves Lives campaign in 2007 to improve safety of surgical care in the world. As a part of the campaign, the first edition of the Surgical Safety Checklist was created through an international consultative process in 2008 and the second edition was published in the WHO Guidelines for Safe Surgery 2009. The guidelines consist of ten essential objectives for safe surgery, and nine of the ten objectives are facilitated by introducing the surgical checklist in the operating room, which is designed to improve teamwork of the operating room member and to give them chances to use the safety processes consistently. It consists of nineteen check points scheduled to be used in three phases: before anesthesia induction, before any skin incision, and at the end of surgery. In this article we gave an outline of WHO Surgical Safety Checklist and WHO Guidelines for Safe Surgery 2009, and reviewed the evidence of the guidelines and checklist. Finally we presented the evidence indicating the efficacy of the WHO Surgical Safety Checklist, which included the pilot study attached in the guidelines showing that its use markedly decreased complications in patients undergoing noncardiac surgery in eight diverse international hospitals.

摘要

世界卫生组织(WHO)于2007年发起了“安全手术拯救生命”运动,以提高全球外科护理的安全性。作为该运动的一部分,2008年通过国际协商过程制定了第一版《手术安全核对表》,第二版于2009年发布在《世界卫生组织安全手术指南》中。该指南包括安全手术的十项基本目标,其中十项目标中的九项通过在手术室引入手术核对表得以推进,该核对表旨在改善手术室成员的团队协作,并让他们有机会持续应用安全流程。它由19个检查点组成,计划在三个阶段使用:麻醉诱导前、皮肤切开前以及手术结束时。在本文中,我们概述了《世界卫生组织手术安全核对表》和《2009年世界卫生组织安全手术指南》,并回顾了该指南和核对表的证据。最后,我们展示了表明《世界卫生组织手术安全核对表》有效性的证据,其中包括指南中附带的试点研究,该研究表明在八家不同的国际医院中,使用该核对表显著降低了接受非心脏手术患者的并发症发生率。

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