中国医学装备2018，Vol.15Issue(1)：36-39,4.DOI:10.3969/J.ISSN.1672-8270.2018.01.011
基于根因分析的三维成像手术腹腔镜系统安全管理研究
Study on safe management of 3D imaging operating laparoscope system based on the root cause analysis
郭炜 1郭大为2
作者信息
- 1. 首都医科大学附属北京世纪坛医院手术室 北京 100038
- 2. 首都医科大学附属北京世纪坛医院医学工程处 北京 100038
- 折叠
摘要
Abstract
Objective:To construct the preoperative examination system about equipment and its matching annex of 3D laparoscope imaging system so as to ensure normal application of equipment.Methods: The root cause analysis(RCA) was applied to solve problems that existed in the use of 3D laparoscope imaging system and to formulate the corresponding solving strategies. The functions and principles of all components of 3D laparoscopic imaging system were reviewed comprehensively. And the fishbone diagram of the cause of default was drawn to formulate solving strategies and evaluate the improvement effect. The data of 40 operations before improved measurement was implemented were divided into control group, and those after improved measurement was implemented were divided into observation group. The difference of the two group was analyzed so as to evaluate the improved effect.Results:On the basis of summarized key points of equipment and matching annex of preoperative 3D laparoscope imaging system, the RCA was applied to find the reason that lead to adverse feedback of clinical practice. Through implemented the disinfection and sterilization method with lesser damage, 3D laparoscope and its annex, the total number of adverse feedback of patients has decreased 60％.Conclusion:The established management system for safe use of 3D laparoscope imaging system which covers preoperative, intraoperative and postoperative stages can reduce the surgical risk and clinical adverse feedbacks comes from the equipment failure and inappropriate operation. Moreover, it can provide reference for the safe use and management of 3D laparoscopic imaging system.关键词
三维成像手术腹腔镜系统/根因分析/临床不良反馈/消毒灭菌/手术风险/安全管理Key words
3D imaging operating laparoscope system/Root cause analysis/Clinical adverse feedback/Disinfection and sterilization/Surgical risk/Safe management分类
医药卫生引用本文复制引用
郭炜,郭大为..基于根因分析的三维成像手术腹腔镜系统安全管理研究[J].中国医学装备,2018,15(1):36-39,4.
