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手术安全核对表:从理念到实际应用

SURGICAL SAFETY CHECKLIST: FROM IDEA TO PRACTICAL APPLICATION.

作者信息

Akopov A L, Bechvaya G T, Abramyan A A, Lotsman E V

出版信息

Vestn Khir Im I I Grek. 2016;175(4):84-8.

Abstract

Methods of surgical interventions performing, modifications, instruments used for operation became more developed every year. In spite of this fact, tendency of increase of the rate of iatrogenic errors took place and it was possible to prevent these mistakes by application of Surgical Safety Checklist. The «checklists» are easily available, not very expensive in practice and they are simple to use. An application of such questionnaires could improve the team work and understanding between members of the crew, which could influence directly on operation outcome. The article presents the history of creation of safety list, the analysis of efficacy of «checklist» application in clinical practice in different countries, information about controversial questions in «checklist», perspectives of its application.

摘要

手术干预的实施方法、改进措施以及手术所用器械每年都在不断发展。尽管如此,医源性错误发生率仍呈上升趋势,而应用《手术安全核对表》有可能预防这些失误。“核对表”易于获取,在实际应用中成本不高且使用简便。应用此类问卷可改善团队协作以及手术人员之间的相互理解,这会直接影响手术结果。本文介绍了安全核对表的创建历程、不同国家临床实践中“核对表”应用效果的分析、“核对表”中存在争议的问题以及其应用前景。

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