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在新型冠状病毒肺炎(COVID-19)大流行期间使用检查表提高工作人员安全性:血管外科的一项准实验研究

Improving staff safety with checklists during novel coronavirus disease (COVID-19) pandemic: A quasi-experiment study in vascular surgical department.

作者信息

Huang Jing, Liu Xiaoyan, Wu Zhoupeng, Zhang Lin, Yang Xinghai

机构信息

Department of Vascular Surgery, West China Hospital, Chengdu, China.

出版信息

Medicine (Baltimore). 2020 Aug 7;99(32):e21548. doi: 10.1097/MD.0000000000021548.

DOI:10.1097/MD.0000000000021548
PMID:32769893
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7593007/
Abstract

Novel coronavirus disease (COVID-19) emerged in Wuhan in December 2019, has spread in many countries affected people globally. In response to the economic requirement of the nation and meet the need of patient's, a momentous event was going back to work step by step as fighting against COVID-19. Safety in clinical work is of priority as elective surgery in the department of surgery progressing. We used checklists based on our experiences on COVID-19 control and reality of clinical work from February to March in the West China Hospital, involving events of screening patient, chaperonage, and healthcare workers. Checklist summarized the actual clinical nursing work and management practices, hope to provide a reference for the order of surgery during the epidemic prevention and control, and standardize the clinical nursing work of surgery during pandemic.

摘要

新型冠状病毒肺炎(COVID-19)于2019年12月在武汉出现,已在许多国家传播,影响全球。为响应国家经济需求并满足患者需求,作为抗击COVID-19的一部分,逐步复工是一项重大举措。随着外科手术科室择期手术的推进,临床工作中的安全至关重要。我们根据华西医院2月至3月在COVID-19防控方面的经验以及临床工作实际情况制定了检查表,涉及患者筛查、陪护和医护人员等事项。检查表总结了实际临床护理工作和管理实践,希望为疫情防控期间的手术秩序提供参考,并规范大流行期间外科手术的临床护理工作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaca/7593007/0309b79e9562/medi-99-e21548-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaca/7593007/0309b79e9562/medi-99-e21548-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eaca/7593007/0309b79e9562/medi-99-e21548-g005.jpg

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本文引用的文献

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Hypertension, Thrombosis, Kidney Failure, and Diabetes: Is COVID-19 an Endothelial Disease? A Comprehensive Evaluation of Clinical and Basic Evidence.高血压、血栓形成、肾衰竭与糖尿病:新型冠状病毒肺炎是一种内皮疾病吗?临床及基础证据的综合评估
J Clin Med. 2020 May 11;9(5):1417. doi: 10.3390/jcm9051417.
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Aerosol and Surface Stability of SARS-CoV-2 as Compared with SARS-CoV-1.与严重急性呼吸综合征冠状病毒1(SARS-CoV-1)相比,严重急性呼吸综合征冠状病毒2(SARS-CoV-2)在气溶胶和表面的稳定性
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Characteristics of and Important Lessons From the Coronavirus Disease 2019 (COVID-19) Outbreak in China: Summary of a Report of 72 314 Cases From the Chinese Center for Disease Control and Prevention.
中国2019年冠状病毒病(COVID-19)疫情的特征及重要经验教训:来自中国疾病预防控制中心72314例病例报告的总结
JAMA. 2020 Apr 7;323(13):1239-1242. doi: 10.1001/jama.2020.2648.
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A Checklist Manifesto: Effectiveness of Checklist Use in Hands-On Simulation Examining Competency in Contrast Reaction Management in a Randomized Controlled Study.清单宣言:在一项随机对照研究中,使用清单在动手模拟考试中检查对比反应管理能力的效果。
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Evaluation of Staff Satisfaction After Implementation of a Surgical Safety Checklist in the Ambulatory of an Oral and Maxillofacial Surgery Department and its Impact on Patient Safety.口腔颌面外科门诊实施手术安全检查表后工作人员满意度评估及其对患者安全的影响
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Mobilising or standing still?A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016.行动还是停滞不前?对2009年至2016年25篇高被引论文中所阐述的手术安全核对表知识的叙述性综述。
BMJ Qual Saf. 2017 Oct;26(10):837-844. doi: 10.1136/bmjqs-2016-006218. Epub 2017 Jun 3.
7
Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery.世界卫生组织手术安全核对表在手术室之外的应用:医学可借鉴外科学。
Clin Med (Lond). 2014 Oct;14(5):468-74. doi: 10.7861/clinmedicine.14-5-468.
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'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England.“匹配密歇根州”:一项为期两年的阶梯式干预计划,旨在将英格兰重症监护病房的中心静脉导管相关血流感染降至最低。
BMJ Qual Saf. 2013 Feb;22(2):110-23. doi: 10.1136/bmjqs-2012-001325. Epub 2012 Sep 20.
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Understanding health care as a complex system: the foundation for unintended consequences.将医疗保健理解为一个复杂系统:意外后果的根源。
JAMA. 2012 Jul 18;308(3):243-4. doi: 10.1001/jama.2012.7551.
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