Saxby Clair, Williams Richard
Torbay District General Hospital.
BMJ Qual Improv Rep. 2014 Jan 3;2(2). doi: 10.1136/bmjquality.u202600.w1277. eCollection 2014.
Foreign body aspiration in children is a life threatening event and prompt bronchoscopy and extraction is essential for their survival. During a recent paediatric airway emergency at Torbay hospital, Devon, the theatre staff were unable to assemble the paediatric bronchoscope. We therefore investigated methods to improve the efficiency and timeliness of the assembly of the paediatric bronchoscope. To assess the current problem we asked ten theatre staff at random to assemble the paediatric bronchoscope. 70% of the staff were not able to assemble the paediatric bronchoscope. A prompt poster was developed as a visual aid to help demonstrate how to assemble the paediatric bronchoscope. Another ten theatre staff were asked to assemble the paediatric bronchoscope. Now all of the staff were able to assemble the paediatric bronchoscope. The prompt poster enabled all the theatre staff tested to correctly assemble the paediatric bronchoscope and the average time taken was reduced. To further develop the service mandatory training sessions have been arranged to help theatre staff remain confident and continue to develop their skills and knowledge.
儿童异物吸入是危及生命的事件，及时进行支气管镜检查和取出异物对其生存至关重要。在德文郡托贝医院最近发生的一次儿科气道紧急情况中，手术室工作人员无法组装小儿支气管镜。因此，我们研究了提高小儿支气管镜组装效率和及时性的方法。为评估当前问题，我们随机邀请了十名手术室工作人员组装小儿支气管镜。70%的工作人员无法组装小儿支气管镜。制作了一张提示海报作为视觉辅助工具，以帮助演示如何组装小儿支气管镜。又邀请了另外十名手术室工作人员组装小儿支气管镜。现在所有工作人员都能够组装小儿支气管镜了。提示海报使所有接受测试的手术室工作人员都能正确组装小儿支气管镜，且平均用时减少。为进一步改进服务，已安排了强制性培训课程，以帮助手术室工作人员保持信心，并不断提高他们的技能和知识水平。
