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目的:加强手术部位标识的管理,使之符合国家有关手术部位标识管理的规定。方法:成立医护一体化专项管理小组,调查各手术科室术前不规范使用手术部位标识的现状,并对其原因加以分析,提出对策。医护人员共同制定术前手术部位标识的管理细节,流程再造,明确责任,加强培训,由手术医师、病区护士、麻醉医师和手术室护士协同监督、把关、反馈、改进。对整改前后手术部位标识不合理例数进行统计。结果:整改前术前手术部位合格标识率为38.24%,整改后合格标识率上升到81.34%;各种类型的手术部位标识使用不合格通过整改均得到降低。结论:手术部位标识实施医护一体化管理有助于手术规范开展,提高护理质量。
Objective: To strengthen the management of the surgical site mark so that it conforms to the national regulations on the surgical site mark management. Methods: The special medical management integration group was set up to investigate the current situation of non-standard use of surgical site marking in each surgical department and to analyze its causes and put forward countermeasures. Health care workers work together to develop the management details of preoperative surgical site identification, process reengineering, clear responsibilities, and training. Surgeons, ward nurses, anesthesiologists and operating room nurses coordinate supervision, check, feedback and improvement. Statistics before and after the rectification of the irrational number of surgical site statistics. Results: Before the rectification, the qualified labeling rate of the preoperative surgical site was 38.24%, and the qualified labeling rate increased to 81.34% after the rectification; the unqualified use of various types of surgical site signs was reduced through the rectification. Conclusion: The implementation of integration of medical and surgical management of surgical site marks helps to carry out surgical specifications and improve the quality of nursing.