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地震早期手术室院内急救物资的应急管理

目的探讨地震突发期间手术室物资管理方法。 方法对2013年4月20日芦山地震发生期间，四川大学华西医院手术室在面对大量伤员救治中如何就各类急救物资进行调配与管理的方法进行回顾总结。 结果在院内急救物资充分保障下，手术室成功完成59例手术，无死亡发生，无伤员因手术室物资准备不足导致的手术延迟。 结论医疗物资保障是手术救援的前提，而合理、高效的管理方法是保证物资供给的重要手段。

The Experience of Application of the Operating Room Video Realtime Monitoring System in Surgical Experimental Teaching

目的:研究手术室视频实时监控系统在外科实验教学中的应用。方法:将220名学生分为实验组(用视频实时监控系统进行教学)和对照组(传统教学方式进行教学)。数据用SPSS10.0进行分析。结果:与对照组相比,实验组取得了更好的成绩,而且新的教学方式获得好评。结论:与传统教学方法相比,视频实时监控系统能让医学生更好地掌握外科基本操作技能。

The opinion of operating room nurse on the enhanced recovery after surgery (ERAS): A survey questionnaire

Objective To investigate the opinions of operating room nurse (ORN) on enhanced recovery after surgery (ERAS). Methods A questionnaire survey was performed among 215 ORNs in West China Hospital. There were 10 males and 205 females at age of 33.4±8.84 years. Results A total of 154 ORNs (71.6%) thought that we already had very good ERAS theory but we still needed more practice. Thirty-four ORNs(15.8%) thought that the application of ERAS was poor in our clinic comparing to other countries.A percentage of 84.2% (181/215) ORNs thought the criteria to judge whether the ERAS succeed or not should be average days of hospitalization, patients' feeling, and experience and social satisfactions. Besides, 78.1% (168/215) ORNs selected team building as the key point of ERAS success. There were 91.2% (196/215) ORNs who believed expert consensus and ERAS guide should be worked out and propagandized through academic forum or conference in order to popularize the ERAS. Conclusion The theory of ERAS has already been accepted by almost all the clinicians and team building is the best way to make ERAS work well.

手术室优质护理服务模式探讨

目的　总结手术室开展优质护理服务的模式及特点。 方法　术前访视做到用语规范化、内容常规化、指导个性化；术中护理实行服务人性化、安全核查常态化、抗生素使用及时化、手术用物清点严格化、手术配合流程化、临床护理工作创新化等，同时加强对患者皮肤、体温的护理，强化安全转运及回访。 结果　开展优质护理服务后，患者和手术医生对护理服务的满意度明显提高。 结论　只要坚持以患者为中心，不断改进工作方法，优化工作流程，创新护理服务理念与手段，就可实现让患者满意、社会满意、政府满意的优质护理服务目标。

Evaluation of the Effect of Positive Implication in the Operating Room

ObjectiveTo explore the effect of positive implication in the operating room on the patient's mental. MethodsA total of 160 patients who received the routine laparoscopic appendectomy surgery from January 2011 to October 2012 were treated with positive implications and conventional appease routine psychological care and the fear, pain, depression and anxiety, and other indicators of the two groups were compared. ResultsThe fear scores in the control group patients were significantly higher than that in the observation group (P<0.05). The patient's perceived pain in the control group was higher than that in the observation group (P<0.05); after nursing intervention, the anxiety and depression levels in the two groups decreased significantly; the observation group had significantly higher satisfaction for the entire course of medical treatment (P<0.05). ConclusionThe positive implication in the operating room can effectively alleviate the patient's fear, anxiety, depression and perceived pain and so on and can contribute to the effect of operation and rehabilitation of the patients.

降低手术室感染的主要措施及效果

摘要:目的:探讨襄樊市中心医院如何强化手术室管理，预防和控制感染，降低围手术期和术后感染,提高手术成功率,缩短患者住院时间。 方法:对该院手术室管理过程中可能造成感染的环节进行全面分析，找出存在的问题和原因，寻找改善和提高控制感染的方法和措施。 结果:该手术室严格执行消毒隔离制度，定期检测消毒合格情况，形成了完整的控制手术室感染管理办法。 结论:强化手术室感染控制体系，对提高管理质量，控制感染具有重要的作用。

咯血患者无痛纤维支气管镜检查的麻醉一例

Approach for the Management of Operation Room Nursing Safety

目的:探讨手术患者潜在不安全隐患,采取有效措施,防微杜渐。方法:对手术患者各个环节进行分析研究。结果:将不安全隐患消灭在萌芽状态,未出现一例差错事故。结论:有意识对患者进行安全管理,让患者平安度过手术期。

Lean healthcare management in optimizing foreign hospital operating room service process

Objective To analyze the application of lean healthcare management in optimizing services in foreign operating rooms, and provide a theoretical reference for further optimizing service processes in domestic operating rooms with lean healthcare management. Methods PubMed and Web of Science databases were searched literature about lean healthcare management in optimizing foreign hospital operating room service process. The search period was from the establishment of databases to November 2024. The number of publications, publishing institutions, authors, citation frequencies, keywords, the use of lean management tools and the improvement status were analyzed.Results A total of 71 literatures were included. Among them, 17 literatures were published from 2008 to 2014, and the number of related literatures increased significantly since 2015, with 54 literatures published by 2024; 9 literatures were published by universities and 62 literatures were published by hospitals. In terms of the distribution of countries and regions where the literatures were published, there were 34 literatures from the United States, 12 from the United Kingdom, 5 from Italy, 4 from Switzerland, and 3 from Canada. The keywords basically presented the combination ofthemes related to operating room management and lean healthcare management improvement fields, such as lean six sigma, quality improvement, and operating room efficiency. The five lean tools with the highest frequency of occurrence in the 71 included literatures were value stream mapping, fishbone diagram, A3 report, PDCA cycle management, and 5S. Conclusions There is an imbalance in the development of lean healthcare management research, with the number of publications in developed countries being far higher than that in developing countries. Lean healthcare management is conducive to improving surgical safety, work efficiency, and patient-doctor satisfaction. Lean healthcare management should further adapt to the actual situation, unify the lean management indicators in operating rooms, conduct cross-departmental cooperation, maximize the effectiveness of lean improvement tools, and achieve modern medical management.

手术室护士对无瘤技术认知调查

【摘要】　目的　调查手术室护士对无瘤技术的认知情况，以提高其业务水平。　方法　2010年6月采用调查问卷形式对120名手术室注册护士进行调查，问卷内容包括年龄、性别、学历、手术室工作年限、是否参加过无瘤技术培训及培训类型、护士对无瘤技术的认知现状等。　结果　护士对“术中器械的处理”、“术中标本的处理及冲洗体腔的意义”知识和技能掌握相对较好，达到60.0%以上；对“无瘤技术的概念”、“肿瘤细胞在术中种植播散的途径”等知识和技能掌握较差，不足40.0%。　结论　手术室护士对于无瘤技术相关知识缺乏，应加强学习与培训，使其能更好地配合、执行无瘤技术，延长肿瘤患者的无瘤生存期。