CAJ | 학술논문

目的通过品管圈活动，探讨某三级甲等医院外科非计划再次手术发生的原因，降低医源性非计划再次手术的发生率。方法通过品管圈活动分析医院非计划再次手术发生的原因，在保证医疗质量和医疗安全的前提下，通过加强手术术前准备和术后护理工作等一系列措施，减少医源性非计划再次手术。为提高医院手术病例的医疗质量，降低非计划再手术的发生率提供依据。结果品管圈活动后，非计划再次手术病例发生率由2.74‰下降到1.27‰，干预措施有效减少了非计划再次手术（χ2=6.1，P<0.01）。结论品管圈的应用有效减少了非计划再次手术，干预措施可推广借鉴。
목적통과품관권활동，탐토모삼급갑등의원외과비계화재차수술발생적원인，강저의원성비계화재차수술적발생솔。방법통과품관권활동분석의원비계화재차수술발생적원인，재보증의료질량화의료안전적전제하，통과가강수술술전준비화술후호리공작등일계렬조시，감소의원성비계화재차수술。위제고의원수술병례적의료질량，강저비계화재수술적발생솔제공의거。결과품관권활동후，비계화재차수술병례발생솔유2.74‰하강도1.27‰，간예조시유효감소료비계화재차수술（χ2=6.1，P<0.01）。결론품관권적응용유효감소료비계화재차수술，간예조시가추엄차감。
Objective Through quality control circle activities, discuss the causes of surgery unplanned reoperation in a certain grade A tertiary hospital and reduce the incidence of iatrogenic unplanned reoperation. Methods After analysis on the causes of unplanned reoperation with the help of quality control circle activities, strengthened the preoperative preparation and postoperative care on the condition of ensuring medical quality and safety to reduce iatrogenic unplanned reoperation, which could be a reference for the improvement of medical quality of surgical cases and the reduction of the incidence of iatrogenic unplanned reoperation Results The incidence of unplanned reoperation dropped from 2.74‰to 1.27‰after carrying out quality control circle activities (x2=6.1, P<0.01). Conclusion Quality control circle effectively reduced the incidence of unplanned reoperation. Relevant intervening measures could be promoted.