Division of Urology, Department of Surgery, University of Toronto, 399 Bathurst St, Toronto, ON, M5T 2S8, Canada.
World J Urol. 2020 Jun;38(6):1369-1372. doi: 10.1007/s00345-019-02886-5. Epub 2019 Jul 30.
Efforts to improve the safety of patients in the operating room have focused on mitigating harm through the standardization of system, team, and human level factors. This article highlights existing and future methods for enhancing safety in the perioperative setting, and the theory and principles that underpin them.
Evidence surrounding the development and implementation of select surgical safety interventions is discussed.
Work in human factors and engineering that has inspired safety interventions such as the WHO Safety Checklist, and more recently operating room recorders, represents a movement away from traditional, retrospective or reactive methods of studying surgical safety, to prospective and proactive ones.
Future work will examine the effectiveness of these interventions for improving patient outcomes and minimizing iatrogenic harm.
为提高手术室患者安全性，人们一直致力于通过标准化系统、团队和人为因素来减少伤害。本文重点介绍围手术期安全增强的现有和未来方法，以及支撑这些方法的理论和原则。
讨论了选定手术安全干预措施的制定和实施情况。
启发了安全干预措施（如世卫组织安全检查表）的人类因素和工程学方面的工作，以及最近的手术室记录器，代表了从传统的、回顾性或反应性的手术安全性研究方法向前瞻性和主动性方法的转变。
未来的工作将研究这些干预措施在改善患者预后和最大限度减少医源性伤害方面的有效性。
