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江苏卫生事业管理:2021,Vol.>>Issue(9):1173-1176
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多学科联合管理在围术期安全管理中的应用实践
潘 攀,严友德,张 雷
(宿迁市第一人民医院医务处;江苏省人民医院医务处)
Application and Practice of Multi-disciplinary Management in Perioperative Safety Management
PAN Pan,YAN Youde,ZHANG Lei
(Medical Department,Suqian First People’s Hospital;Medical Department,Jiangsu People’s Hospital)
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中文摘要: 目的:讨论分析多学科联合管理在医院围术期安全管理中的实践效果。方法:依据利益相关者理论,组建围术期联合管理团队,制定方案,确定监测指标,通过现状调查发现围术期管理中存在的问题,应用帕累托分析主要问题,对症处理,持续改进。结果:在监测的14个指标中,共11项指标存在缺陷,而手术风险评估不规范、手术医师越级等违规、手术部位标识、手术安全核查等4类缺陷累计构成比73.33%,是影响围术期安全管理的主要因素。结论:通过对症采取有效措施,医院围术期安全管理逐渐规范,但效果不明显。围术期安全管理任重道远,各团队应相互协同,强化落实,持续改进。
Abstract:Objectives:To discuss and analyze the practice effects of multi-disciplinary management in perioperative safety management. Methods:According to the stakeholder theory,set up the perioperative joint management team,formulate the plan,determine monitoring indicators,find out problems in perioperative through current status investigation,analyze the main problems through Pareto,conduct symptomatic treatment to Continuously improve perioperative management. Results:Among the 14 monitored indicators,a total of 11 indicators have defects,and the cumulative proportion of four types such as non-standard surgical risk assessment,surgery-level violations,surgical site labeling,and surgical safety verification is 73.33%,which are the main factors of perioperative safety management. Conclusions:By taking effective measures to the symptoms,the perioperative safety management in our hospital is gradually standardized,but the effect is not obvious. The perioperative safety management has a long way to go. All teams should cooperate with each other,strengthen the implementation and continue to improve.
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潘 攀,严友德,张 雷.多学科联合管理在围术期安全管理中的应用实践[J].江苏卫生事业管理,2021,32(9):1173-1176.
PAN Pan,YAN Youde,ZHANG Lei.Application and Practice of Multi-disciplinary Management in Perioperative Safety Management[J].Jiangsu Health System Management,2021,32(9):1173-1176.

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