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关键词:
- 手术核对 /
- SURPASS核对表 /
- 应用
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表 1 SURPASS安全核对表与WHO安全核对表的区别
核对表 实施过程 填写内容 填写者 WHO核对表 仅在手术室 1张表格 多方 SURPASS核对表 从住院到出院 11张表格 多方 表 2 干预组与对照组手术并发症和院内死亡率比较
组别 人数 手术并发症(%) 院内死亡(%) 对照组 使用前 3760 30. 40 1. 20 使用后 31. 20 1. 10 P值 0. 81 0. 62 干预组 使用前 3820 27. 30 1. 50 使用后 16. 70 0. 80 P值 <0. 001 0. 003 表 3 手术输血情况(2007—2010)
时间(年) 输血人数比 冰冻血浆(ml) 血小板(1个单位单采血小板) 2007 0. 15 218. 95 0. 11 2008 0. 17 220. 99 0. 15 2009 0. 20 182. 07 0. 08 2010 0. 21 166. 27 0. 07 -
[1] Weiser TG, Regenbogen SE, Thompson KD, et al. An estimation of the global volume of surgery:a modelling strategy based on available data[J]. Lancet, 2008, 372:139-144. doi: 10.1016/S0140-6736(08)60878-8 [2] Gawande AA, Thomas EJ, Zinner MJ, et al. The incidence and nature of surgical adverse events in Colorado and Utah in 1992[J]. Surgery, 1999, 126:66-75. doi: 10.1067/msy.1999.98664 [3] Bickler SW, Sanno-Duanda B. Epidemiology of paediatric surgical admissions to a government referral hospital in the Gambia[J]. Bull World Health Organ, 2000, 78:1330-1336. http://europepmc.org/articles/PMC2560634/ [4] WHO's patient-safety checklist for surgery[J]. Lancet, 2008, 372: 1. [5] World Alliance for Patient Safety. Implementation manual surgical safety checklist (first edition)[R/OL]. WHO, 2008. http://www.who.int/patientsafety/safesurgery/ss_checklist/en/index.html. [6] Birkmeyer JD, Miller DC. Surgery:can checklists improvesurgical outcomes?[J]. Nat Rev Urol, 2009, 6:245-246. doi: 10.1038/nrurol.2009.57 [7] John D, Birkmeyer MD. Strategies for Improving Surgical Quality -Checklists and Beyond[J]. New Engl J Med, 2010, 363:1963-1965. doi: 10.1056/NEJMe1009542 [8] de Vries EN, Prins HA, Crolla RMPH, et al. Effect of a comprehensivesurgical safety system on patient outcomes[J]. New Engl J Med, 2010, 363:1928-1937. doi: 10.1056/NEJMsa0911535