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提高手术效果:评估实施世界卫生组织手术安全核对表的影响——一项前瞻性横断面研究

Enhancing Surgical Outcomes: Evaluating the Impact of Implementing the World Health Organization Surgical Safety Checklist-A Prospective Cross-Sectional Study.

作者信息

Gasoma ElMuhtadi B Y, Marouf Mohamed A

机构信息

T&O Surgery Department, Swansea Bay UHB, United Kingdom.

Cardiothoracic Surgery Department, Royal Sultanate Hospital, Muscat, Oman.

出版信息

Surg J (N Y). 2024 Dec 12;10(4):e53-e59. doi: 10.1055/s-0044-1800917. eCollection 2024 Oct.

DOI:10.1055/s-0044-1800917
PMID:40034995
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11637733/
Abstract

Globally, surgical care plays a vital role in health care. Unfortunately, complications arise in approximately 5 to 18% of surgical procedures. However, research has shown that following the surgical safety checklist provided by the World Health Organization (WHO) can significantly reduce these complications and surgery-related fatalities. The objective of this study was to assess the accuracy and completion of the WHO Surgical Safety Checklist.  From October 3, 2022 to February 28, 2023, a comprehensive observational study was conducted involving 300 patients who underwent elective and emergency surgeries. The completion rates for the different stages of surgery, namely sign-in, time-out, and sign-out, were determined using the SPSS 22.0 software.  In our research, we specifically examined the completion of the checklist for 300 patients who underwent important procedures within a span of 5 months. For each patient, we ensured that their identities, procedures, and consent were verified with a 100% success rate. Additionally, we thoroughly checked the anesthesia equipment and drugs for safety in every case. Furthermore, all essential images were consistently displayed for each patient, achieving a 100% adherence to this crucial aspect of the process.  In general, the level of completeness of the checklist was satisfactory across the sign-in, time-out, and sign-out phases. While this study did not assess the specific outcomes, it is presumed that incomplete data may have exposed patients to potential perioperative complications.

摘要

在全球范围内,外科护理在医疗保健中发挥着至关重要的作用。不幸的是,大约5%至18%的外科手术会出现并发症。然而,研究表明,遵循世界卫生组织(WHO)提供的手术安全检查表可显著减少这些并发症及与手术相关的死亡。本研究的目的是评估WHO手术安全检查表的准确性和完成情况。

2022年10月3日至2023年2月28日,开展了一项全面的观察性研究,涉及300例行择期和急诊手术的患者。使用SPSS 22.0软件确定手术不同阶段(即签到、暂停和签出)的完成率。

在我们的研究中,我们专门检查了5个月内接受重要手术的300名患者的检查表完成情况。对于每位患者,我们确保其身份、手术和同意均得到核实,成功率达100%。此外,我们在每种情况下都彻底检查了麻醉设备和药物的安全性。此外,为每位患者始终显示所有必要图像,在这一关键流程方面的遵守率达到100%。

总体而言,检查表在签到、暂停和签出阶段的完整程度令人满意。虽然本研究未评估具体结果,但据推测,不完整的数据可能使患者面临潜在的围手术期并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b254/11637733/f1332039290d/10-1055-s-0044-1800917-i2400017-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b254/11637733/8870fc365014/10-1055-s-0044-1800917-i2400017-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b254/11637733/f1332039290d/10-1055-s-0044-1800917-i2400017-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b254/11637733/8870fc365014/10-1055-s-0044-1800917-i2400017-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b254/11637733/f1332039290d/10-1055-s-0044-1800917-i2400017-2.jpg

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本文引用的文献

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J Am Coll Surg. 2021 Dec;233(6):794-809.e8. doi: 10.1016/j.jamcollsurg.2021.08.692. Epub 2021 Sep 27.
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Perceptions from nurses, surgeons, and anesthetists about the use and benefits of the surgical checklist in a teaching hospital.护士、外科医生和麻醉师对教学医院使用手术清单的看法及其益处。
J Healthc Qual Res. 2022 Jan-Feb;37(1):52-59. doi: 10.1016/j.jhqr.2021.06.003. Epub 2021 Jul 31.
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Improving the WHO Surgical Safety Checklist sign-out.
提高世卫组织手术安全核对表的签署环节。
BJS Open. 2021 May 7;5(3). doi: 10.1093/bjsopen/zrab028.
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Effective Implementation and Utilization of Checklists in Surgical Patient Safety.有效实施和利用清单在手术患者安全中。
Surg Clin North Am. 2021 Feb;101(1):37-48. doi: 10.1016/j.suc.2020.08.010. Epub 2020 Nov 2.
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Processes to Create a Culture of Surgical Patient Safety.创建手术患者安全文化的流程。
Surg Clin North Am. 2021 Feb;101(1):29-36. doi: 10.1016/j.suc.2020.09.008. Epub 2020 Nov 2.
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Teamwork and Surgical Team-Based Training.团队合作和基于手术团队的培训。
Surg Clin North Am. 2021 Feb;101(1):15-27. doi: 10.1016/j.suc.2020.09.001. Epub 2020 Nov 2.
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A Human Factors Approach to Surgical Patient Safety.人因工程在外科患者安全中的应用
Surg Clin North Am. 2021 Feb;101(1):1-13. doi: 10.1016/j.suc.2020.09.006. Epub 2020 Nov 2.
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J Perianesth Nurs. 2020 Dec;35(6):635-641. doi: 10.1016/j.jopan.2020.03.017. Epub 2020 Jul 29.
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