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泰米尔纳德邦外科医生对世界卫生组织手术安全核对表的使用及其在一个外科科室的影响。

Use of WHO Surgical Safety Checklist among Surgeons in Tamil Nadu and Its Impact in a Surgical Unit.

作者信息

Dhinahar Bryan J D, Sundararaj Dhinahar, Sundararaj Theogaraj, Dhinahar Cynthia, Arnold Joseph, Shivashankara Ashok K

机构信息

Faith Multispeciality Hospital, Chennai, Tamil Nadu, India.

Tamil Nadu Dr. MGR Medical University, Chennai, Tamil Nadu, India.

出版信息

J Pharm Bioallied Sci. 2024 Dec;16(Suppl 5):S4850-S4854. doi: 10.4103/jpbs.jpbs_1332_24. Epub 2025 Jan 30.

Abstract

INTRODUCTION

Surgery is risky and typically has unnecessary consequences. Globally accepted WHO Surgical Safety Checklists ensure safety standards are followed to reduce these hazards. To improve safety and eliminate perioperative complications, India updated the version. These 234 million yearly operations make this technology essential for improving surgical safety and reducing complications and death. It is being tested in orthopedic, thoracic, and neurosurgery to improve safety culture and compliance.

AIM AND OBJECTIVES

This study assess the use and influence of the WHO Surgical Safety Checklist among surgeons in the surgical unit of Tamil Nadu.

METHOD

A single-centre research was conducted on 200 surgeons from Tamil Nadu, India from diverse specialities examined safety culture perceptions after using the WHO Surgical Safety Checklist. The Ethics Committee-approved survey scored responders' comprehension and compliance. The research assessed operating theater personnel safety culture perceptions and the quality of surgical procedure with respect to its outcome and safety, after implementing the checklist at crucial surgical periods. After the data collection, required analysis was conducted and results were interpreted.

RESULT

The research contrasts treatment and control groups in a Tamil Nadu hospital to assess the WHO Surgical Safety Checklist's effects on surgery. No significant variations in occupation, patient contact, or working hours were found by gender. Orthopaedic, thoracic, and neurological operations have different checklist compliance rates. Diverse viewpoints on safety culture, checklist efficacy, and simplicity of use suggest operating room communication and cooperation improvements.

CONCLUSION

WHO surgical safety checklist is feasible and beneficial in surgeries and also have positive impact on the personnels involved in surgery.

摘要

引言

手术具有风险,通常会产生不必要的后果。全球公认的世界卫生组织手术安全核对表确保遵循安全标准以减少这些风险。为提高安全性并消除围手术期并发症,印度更新了该版本。每年2.34亿例手术使得这项技术对于提高手术安全性、减少并发症和死亡至关重要。它正在骨科、胸科和神经外科进行测试,以改善安全文化和合规性。

目的

本研究评估世界卫生组织手术安全核对表在泰米尔纳德邦外科手术科室外科医生中的使用情况及其影响。

方法

对来自印度泰米尔纳德邦的200名不同专业的外科医生进行了一项单中心研究,在使用世界卫生组织手术安全核对表后检查安全文化认知。经伦理委员会批准的调查对受访者的理解和合规情况进行评分。该研究在关键手术阶段实施核对表后,评估手术室人员的安全文化认知以及手术程序在结果和安全性方面的质量。数据收集完成后,进行了所需的分析并解释了结果。

结果

该研究对比了泰米尔纳德邦一家医院的治疗组和对照组,以评估世界卫生组织手术安全核对表对手术的影响。按性别划分,在职业、患者接触或工作时间方面未发现显著差异。骨科、胸科和神经外科手术的核对表合规率不同。对安全文化、核对表功效和易用性的不同观点表明手术室的沟通与协作有待改进。

结论

世界卫生组织手术安全核对表在手术中是可行且有益的,对参与手术的人员也有积极影响。

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Thirty-day outcomes support implementation of a surgical safety checklist.30 天的结果支持实施手术安全检查表。
J Am Coll Surg. 2012 Dec;215(6):766-76. doi: 10.1016/j.jamcollsurg.2012.07.015. Epub 2012 Aug 28.
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Surgical team behaviors and patient outcomes.手术团队行为与患者预后。
Am J Surg. 2009 May;197(5):678-85. doi: 10.1016/j.amjsurg.2008.03.002. Epub 2008 Sep 11.

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