Operating Room, The First Affiliated Hospital of Wenzhou Medical University, Nanbaixiang Street, Ouhai District, Wenzhou, Zhejiang Province, 325015, China, 86 13958929969.
JMIR Med Inform. 2024 Oct 14;12:e52722. doi: 10.2196/52722.
Information control is a promising approach for managing surgical specimens. However, there is limited research evidence on surgical near misses. This is particularly true in the closed loop of information control for each link.
A new model of surgical specimen process management is further constructed, and a safe operating room nursing practice environment is created by intercepting specimen near-miss events through information safety barriers.
In a large hospital in China, 84,289 surgical specimens collected in the conventional information specimen management mode from January to December 2021 were selected as the control group, and 99,998 surgical specimens collected in the information safety barrier control surgical specimen management mode from January to December 2022 were selected as the improvement group. The incidence of near misses, the qualified rate of pathological specimen fixation, and the average time required for specimen fixation were compared under the 2 management modes. The causes of 2 groups of near misses were analyzed and the near misses of information safety barrier control surgical specimens were studied.
Under the information-based safety barrier control surgical specimen management model, the incidence of adverse events in surgical specimens was reduced, the reporting of near-miss events in surgical specimens was improved by 100%, the quality control quality management of surgical specimens was effectively improved, the pass rate of surgical pathology specimen fixation was improved, and the meantime for surgical specimen fixation was shortened, with differences considered statistically significant at P<.05.
Our research has developed a new mode of managing the surgical specimen process. This mode can prevent errors in approaching specimens by implementing information security barriers, thereby enhancing the quality of specimen management, ensuring the safety of medical procedures, and improving the quality of hospital services.
信息控制是管理手术标本的一种有前途的方法。然而，关于手术近误的研究证据有限。在信息控制的每个环节的闭环中尤其如此。
通过信息安全屏障拦截标本近误事件，进一步构建手术标本处理管理新模式，营造安全手术室护理实践环境。
在中国一家大型医院，选择 2021 年 1 月至 12 月期间采用常规信息标本管理模式收集的 84289 份手术标本作为对照组，选择 2022 年 1 月至 12 月期间采用信息安全屏障控制手术标本管理模式收集的 99998 份手术标本作为改进组。比较 2 种管理模式下的近误发生率、病理标本固定合格率和标本固定平均时间。分析 2 组近误的原因，并对信息安全屏障控制手术标本的近误进行研究。
在基于信息的安全屏障控制手术标本管理模型下，手术标本不良事件的发生率降低，手术标本近误事件的报告率提高了 100%，手术标本质量管理得到有效提高，手术病理标本固定合格率提高，标本固定平均时间缩短，差异有统计学意义（P<.05）。
本研究开发了一种新的手术标本处理管理模式。该模式通过实施信息安全屏障，可以防止标本处理过程中的错误，从而提高标本管理质量，确保医疗程序的安全，并提高医院服务质量。
