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术前阶段的手术标本管理:围手术期护理要点

Surgical Specimen Management in the Preanalytic Phase: Perioperative Nursing Implications.

作者信息

Kinlaw Tabitha S, Whiteside Dawn

出版信息

AORN J. 2019 Sep;110(3):237-250. doi: 10.1002/aorn.12782.

DOI:10.1002/aorn.12782
PMID:31465576
Abstract

Surgical specimen management is an important responsibility of perioperative nurses and is essential to the provision of safe, quality patient care. Errors related to surgical specimen management can lead to a variety of negative consequences for patients and personnel. Unfortunately, surgical specimen management errors can and do occur, particularly during the preanalytic phase, and thus are a major perioperative patient safety concern. The overall management process for various surgical specimens is essentially the same, requiring a multifaceted, multidisciplinary, standardized method that includes specimen identification, labeling, collection, handling, transferring, containing, and transporting. For perioperative nurses to advocate for their patients and help ensure effective surgical specimen management, effective communication among care team members is imperative, along with a culture of safety that focuses on the minimization of distractions and an increased awareness of opportunities for errors.

摘要

手术标本管理是围手术期护士的一项重要职责,对于提供安全、优质的患者护理至关重要。与手术标本管理相关的错误可能会给患者和工作人员带来各种负面后果。不幸的是,手术标本管理错误确实会发生,尤其是在分析前阶段,因此是围手术期患者安全的一个主要问题。各种手术标本的总体管理流程基本相同,需要一种多方面、多学科的标准化方法,包括标本识别、标记、采集、处理、转运、盛放和运输。围手术期护士要为患者代言并帮助确保有效的手术标本管理,护理团队成员之间的有效沟通必不可少,同时还需要一种注重尽量减少干扰并提高对错误发生可能性认识的安全文化。

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