手术室常见差错事故的分析与防范

来源 :中国医院管理 | 被引量 : 0次 | 上传用户:aiwoba1215
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随着新《刑法》、《执业医师法》以及《护士管理条例》的相继实施,医疗法规日趋健全,对医疗安全的要求和医护人员的工作行为及其职责的约束更加严格。作为医疗差错事故“易发区域”手术室的安全管理的重要意义愈发突出,手术安全不仅是衡量手术质量和手术室管理水平的重要标准,也直接影响到医院的正常工作程序及其社会影响。1 手术室常见差错事故的分类1.1 直接责任性 (1)异物遗留,这是手术室最常见的医疗事故。 (2)用药错误,包括输错血。 (3)接送病人错误,摆错手术体位。1.2 间接责任性 (1)消毒工作不严密、不规范,增加创口感染机会。对于较大医院的手术室,主要表现在对消毒隔离规章制度执行不严格;对消毒 With the successive implementation of the new “Criminal Law,” “Practicing Doctors’ Law,” and “Nursary Management Regulations,” medical regulations have become increasingly sound, and the requirements for medical safety and the work behavior of medical staff and their responsibilities have become more stringent. The significance of the safety management of the “easy-to-produce area” operating room as a medical malpractice accident has become more prominent. Surgical safety is not only an important measure of the quality of the operation and the management level of the operating room, but also directly affects the hospital’s normal working procedures and its social impact. . 1 Miscellaneous accidents in the operating room Classification 1.1 Direct liability (1) Foreign matter remains, which is the most common medical accident in the operating room. (2) medication errors, including the wrong blood. (3) Picking up the wrong patient and placing the wrong position. 1.2 Indirect Responsibility (1) The disinfection work is not strict and non-standard, increasing the chance of wound infection. For operating rooms in larger hospitals, it is mainly manifested in the strict implementation of regulations for disinfection and isolation;
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