Health Devices. 1993 Jul;22(7):334-52.
In this article, we discuss a procedure for investigating skin injuries sustained by patients in the operating room and special care areas of the hospital. Skin injuries are often mistaken for burns, and medical devices are immediately blamed as the cause; however, such a hasty conclusion can overlook the actual cause of the injury and delay the implementation of measures to prevent future occurrences. We describe a thorough investigation process for uncovering the real cause of the injury and include a questionnaire to facilitate the investigation. We also list potential causes of accidental skin injuries and present two investigation case studies.
在本文中,我们讨论了一种调查患者在医院手术室和特殊护理区域所遭受皮肤损伤的程序。皮肤损伤常常被误认为是烧伤,医疗设备会立即被指责为起因;然而,如此草率的结论可能会忽略损伤的实际原因,并延误预防未来事件发生的措施的实施。我们描述了一个用于揭示损伤真正原因的全面调查过程,并包含一份有助于调查的问卷。我们还列出了意外皮肤损伤的潜在原因,并展示了两个调查案例研究。