[What holds the hospital together-A "fixation error" in terms of patient safety].

IF 1 Die Anaesthesiologie Pub Date : 2025-02-01 Epub Date: 2025-01-30 DOI:10.1007/s00101-025-01504-x
Richard Schalk, Benedict Peters, Hermann Heinze, Jörn Puls, Valery Kitz
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Abstract

Background: Fixation plasters are nowadays an important part of clinical care and the product range is adapted to the needs of patient care. A multifaceted selection is available.

Aim of the study: To increase vigilance towards the supposedly low-threshold use of fixation plasters in patient care.

Material and method: This review is dedicated to the use of fixation plasters, mostly outside of their intended use on patients.

Results: There are countless examples of how fixation plasters are used outside of their intended purpose and patient safety is often neglected. This can lead to an occult latex contamination. Devices repaired with makeshift fixation plasters also put patients at risk. From a hygienic point of view, adhesive residues from fixation plasters promote surface contamination of various materials or work surfaces.

Discussion: The intended use of medical products is meaningful and prescribed by law. This serves to ensure patient and user safety. Further training is extremely important so that vigilant players in the healthcare sector can counteract sources of danger. This special attention can be trained in the "room of error", for example, and is one of the most important preventative measures to avoid errors occurring in the first place. Checking the use of fixation plasters in one's own working environment helps to minimize risks.

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[是什么维系着医院——病人安全方面的“固定错误”]。
背景:固定膏药是当今临床护理的重要组成部分,其产品范围适应患者护理的需要。有多方面的选择。本研究的目的:提高对低阈值使用固定膏药在病人护理的警惕性。材料和方法:这篇综述主要是关于固定膏药的使用,大多超出了患者的预期用途。结果:有无数的固定膏药是如何在其预期目的之外使用的,患者的安全往往被忽视。这可能导致隐形乳胶污染。用临时固定膏药修复的设备也使患者处于危险之中。从卫生的角度来看,固定膏药的粘合剂残留物会促进各种材料或工作表面的污染。讨论:医疗产品的预期用途是有意义的,是法律规定的。这有助于确保患者和用户的安全。进一步的培训是极其重要的,这样在卫生保健部门保持警惕的参与者就可以抵消危险源。例如,这种特别的注意可以在“错误空间”中进行训练,并且是首先避免错误发生的最重要的预防措施之一。在自己的工作环境中检查固定膏药的使用情况有助于将风险降到最低。
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