使用安全手术清单的障碍:一线人员的观点。

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL SAGE Open Medicine Pub Date : 2024-09-18 eCollection Date: 2024-01-01 DOI:10.1177/20503121241278229
Marianne Palm, Geir Sverre Braut
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引用次数: 0

摘要

目的:安全手术核对表由世界卫生组织于 2008 年提出,是安全实施手术干预的辅助工具。研究表明,在临床活动中使用核对表可减少不良事件的发生。然而,研究表明,不同机构之间,甚至同一机构的不同单位之间,使用核对表的情况也不尽相同。本研究的目的是找出 "最前沿 "医务人员认为阻碍使用核对表的因素:方法:本研究采用定性和个案设计。研究采用了 "危险识别法",这是一种根据工人经验揭示安全隐患的方法:结果:发现了与清单内容、使用领域、与清单使用相关的责任分配以及与临床活动相关的安全工作的组织和管理有关的障碍。核对表的使用必须是系统观点的一部分,偏离核对表的情况必须在组织内进行讨论。信息提供者还称,应在手术室外的干预措施和紧急治疗中使用核对表:尽管大多数员工认为核对表是必要的,但许多周边因素被认为是使用核对表的障碍。尤其是,通过使用危险识别方法,可以发现特定场所的因素。
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Obstacles to using the safe surgery checklist: Perspectives of first-line personnel.

Objectives: The safe surgery checklist, presented by the World Health Organization in 2008, is an aid to performing surgical interventions safely. Research indicates that the use of checklists in clinical activities leads to a reduced number of adverse events. However, research suggests that the use of checklists differs between different institutions and even between units in the same organisation. The intention of this study is to identify factors regarded by the health personnel in 'the sharp end' as obstacles to using the checklist.

Methods: The study has a qualitative, case-based design. It is performed by the Hazard Identification method, which is a method for revealing safety hazards based on workers' experiences.

Results: Obstacles were identified related to the content of the list, areas of use, distribution of responsibilities connected with the use of the list, and finally the organisation and management of safety efforts related to clinical activities. The use of checklists must be part of a system's perspective, and deviations from checklists must be discussed in the organisation. The informants also claimed that checklists should be implemented for interventions located outside the operating theatres and for emergency treatments.

Conclusions: Even though the majority of employees believe that checklists are necessary, many surrounding factors are perceived as obstacles to their use. Not least, site-specific factors may be revealed by use of the Hazard Identification method.

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来源期刊
SAGE Open Medicine
SAGE Open Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
4.30%
发文量
289
审稿时长
12 weeks
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