重庆市51家医院手术患者安全核查现状调查

摘要

目的 了解重庆市手术患者安全核查现状,以确保手术患者的安全.方法 采用自行设计的问卷,对2012年9月参加重庆医科大学附属第一医院主办的国家级继续教育项目培训班的104名护士进行调查.结果 手术安全核查表实施率、住院患者应用手术安全核查表均为100％,二级医院和三级医院参与核对的人员按规范执行的分别占82.86％、87.50％,采用手术部位标记识别的分别占77.14％、93.75％,有定期检查督促的分别占82.86％、75％,有定期培训的分别占82.86％、87.50％,患者身份辨别采用佩戴腕部标志、预防性抗菌药物使用地点这两项,三级医院优于二级医院,差异有统计学意义(P＜0.05).结论 重庆市51家医院手术患者安全核查全部落实,不同级别医院手术患者安全核查的具体做法存在差异,建议各级医院进一步加强手术患者安全核查的监管与落实,以确保手术患者的安全.%Objective Comprehending the safety audit situation for patients in operation to improve the safety of patients.Methods To make questionnaires for the 104 nurses who participated in the continuing education program which held by the first Affiliated Hospital of Chongqing Medical University in September,2012.Results The operation audit check-lists were implemented 100 ％.The proportions of stuffs following the operation standards were 82.86 ％ in Two-grade hospitals and 87.5 ％ in Three-grade hospitals.The percentage of stuffs who applied Operation site markers were 77.14％ and 93.75％ in Two-grade and Three-grade hospitals.There were 82.86 ％ and 75 ％ Two-grade hospitals and Three-grade hospitals which had regular inspections and supervision.As for the periodical training,Two-grade hospitals and Three-grade hospitals account for 82.86 ％ and 87.50％ respectively.As for the usage of wrists markers to discriminate patients' identities and the usage of Prophylactic antibiotics in operation room,the Three-grade hospitals outperform the Two-grade hospitals,and it was statically significant(P＜0.05).Conclusion The safety audit check-lists are 100％ implemented in 51 hospitals from Chongqing,but in terms of the ways of implementation,there are differences.Therefore,the ways need to be more standardized.It is recommended that all hospitals should pay more attention to supervision and commitment of the safety audit of patients in operation to ensure the safety of patients.