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find Keyword "手术间" 3 results
  • 芦山地震医疗救援急诊手术的协调和管理

    目的探讨地震伤员急诊手术和普通急诊手术的协调管理方法和注意要点。 方法回顾性分析2013年4月20日-21日2 d内芦山地震伤员和普通急诊患者手术的统筹协调措施及完成情况,并对手术类型、手术间占用时间、术前准备时间等数据进行统计分析。 结果通过协调和管理,共完成手术88台,其中普通急诊手术27台,地震急诊手术61台,所有手术均及时完成。但是均存在手术间内时间浪费现象。 结论灾害性急诊手术存在不确定性,但可以根据灾害特点等作好早期评估,将灾害急诊手术和普通急诊手术作为一个整体,按照轻重缓急进行统一协调和管理。

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  • 浅谈麻醉科手术间基数药品的管理体会

    目的 探讨麻醉基数药品管理的措施及效果,保证麻醉药品质量,提高用药安全。 方法 2015 年 3 月(改进前)科室按照原本固定的药品管理模式管理手术间麻醉基数药品。2015 年 5 月(改进后)科室采取新方法进行管理,根据易混淆药品管理制度特制定易混淆药品标识,建立各类麻醉基数药品有效期核查表,每个月定期进行麻醉基数药品有效期核查,制定每日各手术间发放麻醉药品统计表,记录近效期药品积压数,每日统计发放麻醉基数药品数。比较改进前后近效期药品积压率和固定基数药品符合率。 结果 手术间共有 56 种麻醉基数药品,改进前近效期药品积压率为 25.0%(14/56),改进后无积压,差异有统计学意义(χ2=12.071,P=0.001);56 种固定基数药品数符合率改进前为 78.6%(44/56),改进后为 100.0%(56/56),差异有统计学意义(χ2=10.083,P=0.001)。 结论 加强对麻醉基数药品的管理,可提高用药安全、工作效率和科室医护满意度,减少医患矛盾。

    Release date:2017-10-27 11:09 Export PDF Favorites Scan
  • Study on the effect of itinerant strengthening post in ophthalmic day operating room

    ObjectiveTo explore the application effect of itinerant strengthening post in ophthalmic day operating room.MethodsIn June 2019 (before the establishment of the itinerant strengthening post) and January 2020 (after the establishment of the itinerant strengthening post), satisfaction of 21 ophthalmic surgeons in the ophthalmic day operation room of the West China Hospital of Sichuan University on intraoperative nursing cooperation, and coping ability scores of operation in key links, satisfaction with scheduling and workload, as well as complaints and accusations received by surgeons of 15 ophthalmological nurses in the ophthalmic day operation room of the West China Hospital of Sichuan University were collected. The total volume of eye day surgeries and the length of the day operating room open in the second half of 2018 and 2019 were retrospectively collected.ResultsAfter the establishment of the itinerant strengthening post, the coping ability score of operation in key links of ophthalmological nurses was improved [(3.28±0.72) vs. (4.67±0.72), P<0.01]. In terms of surgeons’ satisfaction with intraoperative nursing cooperation, with the exception of aseptic operation, the other items were improved (P<0.05). The surgical nurses’ satisfaction with scheduling and workload [(3.30±0.77) vs. (4.47±0.67), P<0.01]; nurses’ complaints and accusations received by surgeons [(3.60±1.18) vs. (2.33±0.82), P<0.01] were improved. The volume of eye day surgery from July to December 2019 increased by 6.58% over the same period in 2018, and the average open time of the operating room increased by 1.88%.ConclusionThe setting up of itinerant strengthening posts in the ophthalmology day operation room is conducive to strengthening the strength and business guidance of the nurses’ key links in the operation room in a timely and effective manner. It can optimize the allocation of human resources in the operating room as much as possible when the existing nursing staff is in short supply, and improve the quality and efficiency of ophthalmic surgery nursing, which is worthy of promotion and application.

    Release date:2021-03-19 01:22 Export PDF Favorites Scan
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