论文部分内容阅读
目的探讨结肠癌根治术的高危风险以及引起风险的主要原因,提出有效的干预策略。方法应用失效模式与效应分析法对结肠癌根治术进行风险识别研究。结果分析得出结肠癌根治术共计8项流程、26项失效环节,排在前10位的高危风险分别为:观察患者药物反应失误、设备仪器准备不充分、检查时间过长、术前宣教不佳、麻醉前核对失误、手术时间过长、排药错误、术后注意事项告知有误、护士术后核对失误、手术者术后核对失误。结论 FMEA法可以有效地识别高危风险,据此有针对性地制定措施、采取策略,能够最终从源头上避免风险的发生。
Objective To investigate the risk of radical resection of colon cancer and the main causes of the risk and propose effective intervention strategies. Methods Applying the failure mode and effect analysis method to identify the risk of colon cancer radical operation. Analysis of the results showed that there were 8 procedures and 26 failed stages of colon cancer radical surgery. The top 10 risk factors were as follows: observation of patients’ medication reaction errors, inadequate preparation of equipment and instruments, long examination time, preoperative education Good, pre-anesthesia check-up errors, surgery time is too long, the wrong row of drugs, postoperative notice errors, nurses postoperative check-up errors, postoperative surgical errors check. Conclusion The FMEA method can effectively identify high-risk risks, and accordingly develop measures to adopt strategies to ultimately avoid the risk from the source.