术前安全与效率原则

English | May 3, 2024 | ISBN-10: 3031410882 | 440 pages| PDF (True) | 13 MB

Perioperative safety continues to be a global challenge. It is estimated that approximately 200 million surgical procedures are performed annually worldwide, and despite various national and global safety initiatives, perioperative adverse event rates remain alarmingly high. Although hospitals and governmental agencies impose safety standards and certification by organizations such as the Joint Commission, which can address issues of perioperative safety, many hospitals in developed, developing or underdeveloped countries lack the resources or knowhow to decrease perioperative adverse events. There is a great opportunity for improving perioperative safety worldwide especially in underdeveloped or developing countries. Filling a gap in the literature, this book teaches healthcare providers the basic principles of perioperative safety and efficiency, including checklists and processes to reduce adverse events. Presented here are the basics of intraoperativemonitoring and safety measures to reduce patient adverse events, including wrong site surgery, electric burn injury, deep venous thrombosis, surgical site infection and foreign body retention. Emphasis is given toward developing awareness into measures preventing occupational injuries, such as sharp injury, radiation exposure, laser exposure and smoke hazard. It also addresses dealing and reporting adverse events and disruptive behaviors in the operating rooms as well as new measures for enhanced recovery following surgery and anesthesia. Principles of Perioperative Safety and Efficiency is a valuable resource and reference for all operating room personnel including surgeons, surgical residents, medical students and nurses.

围术期安全仍然是一个全球性挑战。据估计，全世界每年约有2亿例手术进行，尽管各国和全球范围内实施了各种安全倡议，围术期不良事件率仍然很高。虽然医院和政府机构通过如JCI这样的组织制定安全标准并认证，可以解决围术期安全问题，但发展中国家、发展中国家或欠发达国家的许多医院缺乏资源或知识来减少围术期不良事件的发生。全世界特别是欠发达国家和地区，改善围术期安全具有巨大的潜力。填补文献空白，本书教授医护人员围术期安全和效率的基本原则，包括使用清单和流程以减少不良事件。这里介绍的是围手术期监测的基本知识以及减少患者不良事件的安全措施，包括错位手术、电烧伤、深静脉血栓形成、外科感染和异物残留等。着重强调了防止职业伤害的意识，例如锐器伤、辐射暴露、激光暴露及烟雾危害。还涉及处理和报告操作室中的不良事件以及术后麻醉后的增强恢复的新措施。围术期安全与效率原则是一部宝贵的资源和参考书，适用于所有手术室人员，包括外科医生、外科住院医师、医学院学生和护士。

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