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维系医院运转的要素——从患者安全角度看的“固定错误”

[What holds the hospital together-A "fixation error" in terms of patient safety].

作者信息

Schalk Richard, Peters Benedict, Heinze Hermann, Puls Jörn, Kitz Valery

机构信息

Klinik für Anästhesiologie, Agaplesion Diakonieklinikum Hamburg, Hohe Weide 17, 20259, Hamburg, Deutschland.

Team Pflegewissenschaft und -fortschritt, Agaplesion Diakonieklinikum Hamburg, Hohe Weide 17, 20259, Hamburg, Deutschland.

出版信息

Anaesthesiologie. 2025 Feb;74(2):111-118. doi: 10.1007/s00101-025-01504-x. Epub 2025 Jan 30.

Abstract

BACKGROUND

Fixation plasters are nowadays an important part of clinical care and the product range is adapted to the needs of patient care. A multifaceted selection is available.

AIM OF THE STUDY

To increase vigilance towards the supposedly low-threshold use of fixation plasters in patient care.

MATERIAL AND METHOD

This review is dedicated to the use of fixation plasters, mostly outside of their intended use on patients.

RESULTS

There are countless examples of how fixation plasters are used outside of their intended purpose and patient safety is often neglected. This can lead to an occult latex contamination. Devices repaired with makeshift fixation plasters also put patients at risk. From a hygienic point of view, adhesive residues from fixation plasters promote surface contamination of various materials or work surfaces.

DISCUSSION

The intended use of medical products is meaningful and prescribed by law. This serves to ensure patient and user safety. Further training is extremely important so that vigilant players in the healthcare sector can counteract sources of danger. This special attention can be trained in the "room of error", for example, and is one of the most important preventative measures to avoid errors occurring in the first place. Checking the use of fixation plasters in one's own working environment helps to minimize risks.

摘要

背景

固定石膏如今是临床护理的重要组成部分,其产品范围也根据患者护理需求进行了调整。有多种选择可供选择。

研究目的

提高对患者护理中固定石膏使用门槛看似较低的警惕性。

材料与方法

本综述致力于固定石膏的使用,大多是在其预期用于患者之外的用途。

结果

有无数例子表明固定石膏被用于其预期用途之外,患者安全常常被忽视。这可能导致潜在的乳胶污染。用临时固定石膏修复的设备也会使患者面临风险。从卫生角度来看,固定石膏的粘性残留物会促进各种材料或工作表面的表面污染。

讨论

医疗产品的预期用途是有意义的且由法律规定。这有助于确保患者和使用者的安全。进一步培训极其重要,以便医疗保健领域警惕的从业者能够应对危险来源。例如,可以在“错误室”中进行这种特别关注的培训,这是避免首先出现错误的最重要预防措施之一。检查自己工作环境中固定石膏的使用有助于将风险降至最低。

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