Abstract: Preoperative time-out verification is an important procedure for surgical safety verification. In order to improve the implementation rate and satisfaction of medical and nursing Time-out surgical safety verification, this study designed a disposable medical surgical sterile surgical kit. The time-out indicator label is added to the incision site of the surgical gown, which meets the use requirements of the time-out confirmation in the operating room. Compared with the old surgical package, surgeons and nurses have significantly improved the implementation rate and satisfaction of Time-out surgical safety verification (P<0.05). The implementation rate of Time-out surgery safety verification in the new surgical kit group was 100.0%, which was significantly higher than the 70.0% in the old surgical kit group (t=11.863, P=0.001<0.05); the satisfaction of the surgeons and nurses in the new surgical kit group They were 95.3±3.5 and 96.2±3.8, which were significantly higher than 84.2±4.6 and 83.8±6.2 in the old surgical kit group (t=4.294, P=0.034<0.05; t=6.392, P=0.021<0.05).
0 Preface
The "Surgery Safety Verification System" is one of the ten major safety goals for patients. The surgical medical staff participate in the surgical safety verification, initiated by the surgeon in charge, and jointly confirm the patient, the surgical part and the surgical method, including the patient’s name, gender, and surgery. Methods, surgical site and identification, surgery, anesthesia risk warning related matters, equipment preparation, implant details, etc., to ensure the safety of the operation. According to the "Surgery Safety Verification System", there should be a short period of inactivity (Time-out) before preparing for the surgery (inspection), and the preoperative time-out (Time-out) verification is an important procedure for surgical safety verification, which refers to before the skin incision. , The surgeon's anesthesiologist and itinerant nurses suspend all operations to perform safety checks on patients. How to prevent surgical errors is one of the focuses of medical research at home and abroad, and the implementation of the Time-out program is the fundamental way to prevent erroneous operations from occurring [3]. In this study, a disposable medical surgical sterile surgical kit was designed, and Time-out indicator labels were added to the incision site of the surgical dressing. The design and application effects of this disposable medical surgical sterile surgical kit are now reported as follows.
1 Materials and methods
1.1 Materials and production
(1) Material
Our department has designed a sterile surgical kit for medical surgery for patients undergoing surgery. The medical surgical towel has a surgical dressing incision corresponding to the surgical site, and the incision is provided with a Time-out indicator label, including release paper, a sticker layer, a first graphene antenna coil, a conductive adhesive layer, and a second graphene antenna coil , RFID chip, PET film layer and Time-out sticker.
(2) Production method
The self-adhesive layer has a concave structure, the release paper is arranged on the lower surface of the self-adhesive layer, the PET film layer is arranged on the upper surface of the self-adhesive layer, and the Time-out sticker is pasted on the PET film layer through the self-adhesive On the surface, the first graphene antenna coil and the second graphene antenna coil are electrically connected. The first graphene antenna coil, the conductive adhesive layer, the second graphene antenna coil and the radio frequency identification chip are sequentially distributed from bottom to top and are all arranged in Inside the recess of the self-adhesive layer. The thickness of the first graphene antenna coil and the thickness of the second graphene antenna coil are both 20~30μm, both of which are oblong. The schematic diagram is shown in Figure 1.
(3) How to use
After the patient's surgical site is disinfected, the lining is laid on the surgical site, and the time-out is performed before the knife (check) is prepared to remind all surgical medical staff to participate in the surgical safety inspection. After the verification is correct, tear off the Time-out sticker to start the operation, guarantee The operation is safe.
1.2 Grouping and evaluation methods
After the design of the new surgical pack was finalized, 80 cases of surgery from March to June 2019 were randomly included, and they were randomly divided into a new surgical kit group and an old surgical kit group, each with 40 cases, using the new surgical kit and the old surgical kit respectively. The two groups were comparable in gender, age, and type of disease (P>0.05). The new surgical kit uses Time-out surgical safety verification disposable sterile medical surgical kits, and the old surgical kit uses disposable medical surgical sterile surgical kits without Time-out surgical safety verification labels. After the operation, the two groups were checked for the implementation rate of the Time-out operation safety check and the satisfaction of the time-out operation safety check of the nurses during the operation.
1.3 Statistical methods
In this study, SPSS 22.0 statistical analysis software was used for statistical analysis. For quantitative data, independent sample t test was used for analysis, expressed as ±s; for attribute data, expressed as n (%) using 2*2 chi-square Analyze and verify. Choose α=0.05 as the reliability of whether the difference is statistically significant.
2 Results
2.1 Comparison of the implementation of Time-out surgery safety verification. After the operation, the implementation rate of Time-out surgery safety verification in the two groups was calculated. The implementation rate of Time-out surgery safety verification in the new surgical kit group was 100.0%, which was significantly higher than the 70.0 in the old surgical kit group. %(T=11.863, P=0.001<0.05).
2.2 Satisfaction assessment of operators and nurses during Time-out operation safety inspection
After the operation, a questionnaire survey was used to evaluate the satisfaction of the surgeon and nurse with the surgical kit, with a full score of 100. The results showed that the satisfaction of operators and nurses in the new surgical kit group were 95.3±3.5 and 96.2±3.8, respectively, which were significantly higher than the 84.2±4.6 and 83.8±6.2 in the old surgical kit group (t=4.294, P=0.034<0.05; t=6.392, P=0.021<0.05).
3 Discussion
During surgical operations, the mattresses and sheets on the operating bed are often soaked and contaminated due to blood leakage, and at the same time, the time for the operation is delayed. In order to keep the mattresses and sheets on the operating bed clean, dry and free of blood stains, most hospitals currently use disposable surgical kits. However, the surgical dressing incisions of the existing disposable surgical kits are usually hollowed out. During the operation, it is easy to cause body fluid penetration and contamination of the operating table. In order to overcome the deficiencies in the prior art, a disposable medical surgical sterile surgical kit is provided, and Time-out indicator labels are added to the incision site of the surgical dressing to meet the needs of hand
Surgical safety verification requirements of surgical medical staff. Compliance has a significant therapeutic effect on the condition and enhances the patient’s quality of life and happiness index. Extended care means that patients still carry out effective nursing measures after they are discharged from the hospital, solve the patient's treatment problems through the professional knowledge of the nurses, correct and guide the patients' bad habits and rehabilitation training, improve the patient's treatment compliance, reasonable diet, and regular Re-examination helps patients to effectively control their condition and achieve the goal of patients having the ability to live a normal life. Extended nursing is a new type of humanized nursing model, which enables the hospital to be integrated into the family, and patients can receive effective treatment without leaving the house, meet the requirements of patients after they are discharged from the hospital, and bring new vitality to various medical mechanisms. This experimental study found that after the care and treatment of the two groups of patients, the blood pressure of the patients was effectively improved, and the treatment effect of the patients in the study group was obvious
It is better than the control group, and the data is statistically significant (P<0.05); the treatment compliance of patients in the study group is significantly better than the control group, and the data is statistically significant (P<0.05). To sum up, the use of extended nursing intervention can effectively improve the patient's treatment compliance rate, significantly reduce the patient's systolic and diastolic blood pressure, so that the patient's blood pressure can be effectively controlled, and improve the patient's quality of life and satisfaction with medical staff It is worthy of clinical promotion and application.
The new surgical kit we invented has the following advantages: ①Simple structure and reasonable design, adding Time-out indication label to the incision of the surgical dressing, meeting the needs of surgical safety inspections of surgical staff, and meeting the needs of time-out confirmation in the operating room . ② Remind the surgical medical staff to participate in the safety inspection of the operation to ensure the safety of the operation. Surgical safety verification by hand
The surgeon presided over the initiative to jointly confirm the patient, the surgical part and the surgical method, including the patient's name, gender, surgical method, surgical site and identification, surgery, anesthesia risk warning related matters, equipment preparation, and implant details Etc. to ensure the safety of the operation.
Surgical isolation gown
回复删除