巴图卡尔萨胡萨达医院择期与急诊手术患者手术安全执行之服从外科团队之差异

Nanda Priatna, Rudi Hamarno, rony yuliwar
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引用次数: 0

摘要

手术患者的安全成为医疗行动的主要焦点,因为它涉及侵入性手术。手术团队的服从对于降低手术风险非常重要。2007年,世卫组织发布了一种以手术安全核对表形式保持患者安全的方法,以降低患者的死亡率。本研究的目的是了解在Karsa Husada医院的手术室,外科团队在选择性和急症手术病人的手术安全执行依从性上的差异。采用的研究设计为比较设计,采用横断面法,样本量为22人,按照纳入标准和排除标准采用目的抽样。采用非参与式观察的方法,对择期和急诊手术患者每15次进行一次手术。所使用的研究仪器为SSC观测表,由医院自行订制。数据的制表采用卡方检验的分析比较技术。研究结果显示,外科团队在择期手术患者手术安全检查表执行方面的依从性为80%,而在急诊手术患者手术安全检查表执行方面的依从性仅为7%,显著性得分为0,说明择期手术患者与急诊手术患者手术安全检查表执行方面的依从性存在差异。给手术团队的建议是,团队应该最大限度地执行手术安全,不要错过一些ssc 的要点,特别是在超时和退出阶段。关键词:服从;外科团队;手术安全
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The DIFFERENCE OF OBEDIENCE SURGICAL TEAM IN THE IMPLEMENTATION OF SURGICAL SAFETY BETWEEN ELECTIVE AND EMERGENCY SURGERY PATIENTS IN KARSA HUSADA HOSPITAL BATU
Patient safety with surgery becomes the main focus in medical action, as it involves invasive procedure. The surgical team’s obedience is very important to reduce the risk at the surgery procedure. At 2007, WHO has released a method for keep the patient safety in Surgical Safety Checklist (SSC) form, to reduce the patient’s mortality. The purpose from this research is to know the difference of surgical team’s obedience in implementation of surgical safety between elective and emergency surgical patient at Karsa Husada Hospital’s operating room. The research design that used is comparative design with cross-sectional approach, with the amount of sample is 22 person and used the purposive sampling according to the both inclusion and exclusion criteria. The method of collecting data implemented by non-participative observation to the surgical team that conducting the operation each 15 times to both the elective dan emergency surgery patient. The research instrument that used was SSC observation form and it was customized by hospital’s form. The tabulating data that used was analytic comparative technic with Chi Square test. The research’s result show the surgical team’s obedience in surgical safety checklist implementation at elective surgical patient is 80% was scored obey, meanwhile at emergency surgical patient is only 7% was scored obey, and the significance score is 0,000, that means there is a difference of surgical team’s obedience in the implementation of surgical safety between elective and emergency surgery patient. The recommendation given to the surgical team is the team is expected to carry out the surgical safety maximally and don’t missed some of the SSC’s point especially at the both of time out and sign out phase. Keywords: Obedience, surgical team, surgical safety, elective, emergency
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