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世界卫生组织手术安全核对表(增加感染控制项目):埃及的干预性研究

World Health Organization Surgical Safety Checklist with Addition of Infection Control Items: Intervention Study in Egypt.

作者信息

El-Shafei Arwa M Hosny, Ibrahim Sahar Yassin, Tawfik Ayat Mahmoud, El Fatah Shaimaa A M Abd

机构信息

Public Health, and Community Medicine Department, Faculty of Medicine, Cairo University, Cairo, Egypt.

Public Health, and Community Medicine Department, Faculty of Medicine, Port-Said University, Port-Said, Egypt.

出版信息

Open Access Maced J Med Sci. 2019 Oct 14;7(21):3691-3697. doi: 10.3889/oamjms.2019.593. eCollection 2019 Nov 15.

DOI:10.3889/oamjms.2019.593
PMID:32010400
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6986510/
Abstract

BACKGROUND

Surgical team is in command of the operating room (OR) and takes decisions regarding various patient care procedures. Educational programs directed to them, should be creative, provocative and tailored to their specific needs and the expected outcomes.

AIM

This study aims to design and conduct an educational program of patient safety and infection control for the OR team based on the WHO surgical safety checklist and to assess their post-intervention knowledge and practices.

METHODS

This interventional study was conducted at the ORs of Port-said general hospital. It passed through three stages; baseline assessment of knowledge and practice regarding patient safety and infection control among OR team (surgeons, anaesthetists and nurses), intervention stage in which an educational program based on the WHO surgical safety checklist with modifications and additions of more infection control items was conducted, then re-assessment of their post-intervention knowledge and practices.

RESULTS

All the studied participants showed improvement in both knowledge and practices of patient safety and infection control after the educational program based on the WHO surgical safety checklist with modifications and additions of more infection control items and including not only practices but also knowledge as well, than before.

CONCLUSION

The modification of the WHO surgical safety checklist to fit local knowledge and practices created a comprehensive tool that led to an improvement in both knowledge and practices of patient safety and infection control among the OR team.

摘要

背景

手术团队负责手术室,并就各种患者护理程序做出决策。针对他们的教育项目应该具有创新性、启发性,并根据他们的特定需求和预期结果进行量身定制。

目的

本研究旨在基于世界卫生组织手术安全核对表,为手术室团队设计并开展一项患者安全与感染控制教育项目,并评估他们干预后的知识和实践情况。

方法

本干预性研究在塞得港总医院的手术室进行。研究分为三个阶段;对手术室团队(外科医生、麻醉师和护士)进行患者安全与感染控制知识和实践的基线评估,干预阶段开展一项基于世界卫生组织手术安全核对表并进行了修改且增加了更多感染控制项目的教育项目,然后重新评估他们干预后的知识和实践情况。

结果

在基于世界卫生组织手术安全核对表并进行了修改且增加了更多感染控制项目、不仅包括实践还包括知识的教育项目之后,所有研究参与者在患者安全与感染控制的知识和实践方面均有改善。

结论

对世界卫生组织手术安全核对表进行修改以适应当地知识和实践,创造了一个全面的工具,导致手术室团队在患者安全与感染控制的知识和实践方面均有改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/685af9776329/OAMJMS-7-3691-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/beb5e52e71f0/OAMJMS-7-3691-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/d0b699517413/OAMJMS-7-3691-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/def5fabc7764/OAMJMS-7-3691-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/16ce1b492269/OAMJMS-7-3691-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/685af9776329/OAMJMS-7-3691-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/beb5e52e71f0/OAMJMS-7-3691-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/d0b699517413/OAMJMS-7-3691-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/def5fabc7764/OAMJMS-7-3691-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/16ce1b492269/OAMJMS-7-3691-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3946/6986510/685af9776329/OAMJMS-7-3691-g005.jpg

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Use of the surgical safety checklist to improve communication and reduce complications.使用手术安全核对表来改善沟通并减少并发症。
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Implementation of a surgical safety checklist: interventions to optimize the process and hints to increase compliance.
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