英国一家医院儿科急诊整形外科患者对世界卫生组织更安全手术检查表的依从性
WHO Safer Surgery checklist compliance amongst paediatric emergency plastic surgery patients in an UK hospital.
作者信息
Keijzer Welmoed W, Agha Riaz A, Greig Aina
机构信息
Department of Plastic Surgery, Guy's and St Thomas Hospital, London, SE1 7EH, UK.
出版信息
Ann Med Surg (Lond). 2017 Jul 21;21:49-52. doi: 10.1016/j.amsu.2017.07.049. eCollection 2017 Sep.
INTRODUCTION
The WHO Safer Surgery checklist has become an important component of perioperative safety. Our objective, was to determine the compliance of completing the checklist for paediatric emergency plastic surgery patients at our unit.
METHODS
An initial baseline was performed with 70 patients over two months at our unit. Following this, we raised awareness at an audit meeting and closed the audit loop using 80 patients over two months. The audit is reported in line with SQUIRE 2.0 criteria.
RESULTS
Initial compliance was 88% overall and this increased to 91% post-intervention. Compliance with the individual stages in both cycles was for sign-in: 85%-86%, for time-out 92%-98% and for sign-out 86%-89%. Around one in four checklists were not scanned in both periods.
CONCLUSION
This audit showed a high overall level of compliance in the checklists that were scanned and available for scrutiny. We have identified the areas that most need improvement and suggest ways for doing so.
引言
世界卫生组织的《安全手术核对表》已成为围手术期安全的重要组成部分。我们的目标是确定我们科室小儿急诊整形外科患者完成核对表的依从性。
方法
在我们科室对70例患者进行了为期两个月的初始基线调查。在此之后，我们在一次审核会议上提高了认识，并在两个月内对80例患者进行了审核循环。审核报告符合SQUIRE 2.0标准。
结果
初始总体依从率为88%，干预后升至91%。两个周期中各个阶段的依从率为：签到85%-86%，暂停92%-98%，签出86%-89%。两个时期约四分之一的核对表未被扫描。
结论
本次审核显示，已扫描且可供审查的核对表总体依从率较高。我们已确定了最需要改进的领域，并提出了改进方法。
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