Application of operating room risk management in nursing of patients undergoing endoscopic surgery
质控小组联合专科小组在手术室护理质量管理中的应用

摘要

目的 探讨提升手术室护理质量的管理办法，分析应用质控小组联合专业小组管理的实践效果。方法 为了确保手术室护理质量，我院手术室在2020年11月下旬开始应用质控小组联合专业小组管理办法，对应用该管理模式前后一年进行效果评价，分别筛选了2019年10月-2020年10年及2020年12月-2021年12月实施手术治疗的患者各95例作为检验管理效果的观察对象，对比护理管理前后的手术室护理质量评分、手术室护理出错事件及患者对整体护理过程的评价。结果 管理前后对护理质量进行相关考核，管理前质量评价项目中制度及环境、手术间、物资、人员、消毒、护理工作及监测这7项管理总分均高于管理前水平，差异典型（P＜0.05）；管理前护理出错事件的手术患者人数较多，管理后护理内容出错率均明显低于管理前（P＜0.05）；患者对整体护理流程的评价较管理前更高（P＜0.05）。结论 应用质控小组联合专业小组管理办法，可提升手术室护理质量，降低护理事件出错率，并带给患者较为满意的手术护理体验，该管理办法实践效果可观。

Abstract

Objective To briefly describe whether risk management in operating room is suitable for nursing of patients undergoing laparoscopic surgery and its related effects.
Methods The experiment started in February 2021 and ended in February 2022. During this time period, 87 patients with laparoscopic surgery were selected and randomly divided into groups: control group, 42 patients, conventional operating room Nursing; observation group, 45 cases, operating room risk management, nursing quality, nursing risk incidence, complaint rate, risk cognition, and satisfaction were used as the comparison indicators of the two groups.
Results The nursing quality score of the observation group was higher than that of the control group; the nursing risk incidence rate and complaint rate of the observation group were lower than those of the control group; the risk awareness rate and satisfaction rate of the observation group were higher than those of the control group (P<0.05).
Conclusion   The implementation of operating room risk management in patients with endoscopic surgery can improve the quality of nursing, enhance the risk awareness of nurses, reduce risk events and complaints, and obtain the satisfaction of patients and their families, which can be promoted.