CAJ | 학술논문

目的:调查手术室医务人员对手术患者安全管理态度,发现问题,提出改进措施,提高手术患者安全.方法:随机抽查重庆市手术室患者安全管理培训班继续教育培训人员46名,使用手术团队成员手术安全管理态度调查问卷进行调查.结果:管理态度条目平均得分为(2.55±1.00)分;不同职称及不同等级医院人员在个别条目存在明显差异.个人及管理层均最关注患者安全.86.96%被调查者反馈在手术室犯过错误,错误被及时讨论以免再犯,且匿名、机密的报告制度非常重要, 19.57%认为"只要患者病情好转,管理过程中犯点错误不重要".结论:被调查者患者安全管理态度正向,对错误有较积极的认识,但在鼓励质疑、上报不良事件及协调多学科团队协作、有效沟通上仍须努力.
목적:조사수술실의무인원대수술환자안전관리태도,발현문제,제출개진조시,제고수술환자안전.방법:수궤추사중경시수술실환자안전관리배훈반계속교육배훈인원46명,사용수술단대성원수술안전관리태도조사문권진행조사.결과:관리태도조목평균득분위(2.55±1.00)분;불동직칭급불동등급의원인원재개별조목존재명현차이.개인급관리층균최관주환자안전.86.96%피조사자반궤재수술실범과착오,착오피급시토론이면재범,차닉명、궤밀적보고제도비상중요, 19.57%인위"지요환자병정호전,관리과정중범점착오불중요".결론:피조사자환자안전관리태도정향,대착오유교적겁적인식,단재고려질의、상보불량사건급협조다학과단대협작、유효구통상잉수노력.
Objective: To identify problems of OR safety management approach, discover issues, propose ways to improve, and ultimately to enhance surgical patient safety. Method: Randomly selected 46 trainees who attended "surgical patient safety management training program" in Chongqing to take the "Surgical safety management approach questionnaire for surgical team members". Result: The average score of management approach is 2.55±1.00. Several signiifcant items were detected among different qualiifcations and different hospital level. Both of the individual and management put patient safety as primary concern. 86.96% of the respondents agreed that they had made errors in OR, medical errors are discussed to prevent recurrence, and conifdential reporting system that documents medical errors is important for safety, 19.57 of them agreed that "Errors committed during patient management are not important, as long as the patient improves". Conclusion: OR managers have positive attitude on surgical patient safety and good understanding on medical error. But still need improvements on questioning, adverse event reporting, multidisciplinary teamwork coordination and effective communication.