| 闵玉娣,孙丽娜.手术中断研究进展[J].济宁医学院学报,2025,48(6):544-547 |
| 手术中断研究进展 |
| Research progress on surgical interruption |
| 投稿时间：2025-06-25 |
| DOI：10.3969/j.issn.1000-9760.2025.06.011 |
| 中文关键词: 手术室;手术中断;中断事件 |
| 英文关键词: Operating room;Surgical interruption;Interruption events |
| 基金项目:北京大学人民医院研究与发展基金护理科研项目(RDN2021-06)(RDN2022-26) |
| 作者 | 单位 | E-mail | | 闵玉娣 | 北京大学人民医院护理部, 北京 100044 | | | 孙丽娜 | 北京大学人民医院健康管理中心, 北京 100044 | bjmylee@sina.cn |
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| 中文摘要: |
| 手术中断事件在外科手术里是较为常见的情况,已然变成影响手术安全以及效率的关键风险因素。本文全面回顾了手术中断的定义、发生的时机以及多方面的影响因素,涉及环境设备、人员团队、流程管理、患者以及组织系统等领域,同时对比分析了5种手术中断严重程度评估工具的特性与应用范畴。基于此,归纳了当前常用的手术中断管理策略,如“无菌驾驶舱”管理、噪声控制以及教育培训等。现有的评估工具大多聚焦于行为层面的中断表现,未来评估模式需要朝着认知维度,比如工作记忆与情境意识方面转变。当前该领域的研究依旧着重于现象描述与分类识别,未来应当努力开发基于人工智能与物联网技术的实时监测以及智能干预系统,并且针对微创、机器人辅助以及急诊等特定手术场景构建精确化的中断防控体系。本文为医院管理者识别、评估以及防控手术中断提供理论参考,也为构建安全、高效的手术运行环境给予实践指导。 |
| 英文摘要: |
| Surgical interruption events are a common occurrence in surgical procedures and have become a significant risk factor impacting surgical safety and efficiency.This article provides a systematic review of the definition,occurrence timing,and multidimensional influencing factors of surgical interruptions,including aspects such as environment and equipment,personnel and team,process management,patient factors,and organizational systems.It also compares and analyzes the characteristics and application scopes of five severity assessment tools for surgical interruptions.Furthermore,it summarizes current commonly used management strategies for surgical interruptions,such as the "sterile cockpit" mangement,noise control,and education and training.This paper points out that existing assessment tools primarily focus on behavioral manifestations of interruptions,suggesting that future assessment paradigms need to shift towards cognitive dimensions.Currently,research in this field remains largely focused on phenomenon description and classification;future efforts should be dedicated to developing real-time monitoring and intelligent intervention systems based on artificial intelligence and Internet of Things technologies,and to establishing precise interruption prevention and control systems tailored to specific scenarios such as minimally invasive surgery,robot-assisted surgery,and emergency surgery.This review aims to provide theoretical references for hospital administrators to identify,assess,and manage surgical interruptions,and to offer practical guidance for building a safe and efficient surgical operating environment. |
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