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首页> 外文会议>International System Safety Conference >Surgical Systems-Based Team Performance in Biopsy and Pathology Specimen Handling — Improving Patient Safety and Quality of Care
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Surgical Systems-Based Team Performance in Biopsy and Pathology Specimen Handling — Improving Patient Safety and Quality of Care

机译：基于外科系统的活组织检查和病理标本手术组成 - 改善患者安全和护理质量

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摘要

Safe, efficient operating room (OR) function demands a highly orchestrated performance by a team of people. This is optimized by a spirit of interdependence and shared responsibility. It is often difficult to quantify team-based performance and communication in a standardized and objective function. Accuracy of specimen handling, including error rates, has been suggested as a surrogate for quality since organizations that don't communicate well enough to handle specimens appropriately are likely to fall short in multiple spheres. Errors in specimen handling have serious implications including delay in care, failure to use appropriate therapy and misdiagnosis. These errors can range from identification errors, incorrect tissue sites, source errors and specimen loss. In one university hospital, identification errors were found in 4.3/1000 specimens. This process involves many steps from the initial specimen retrieval by the surgeon, appropriate collection and identification by the surgery technician (including right/left laterality) and specimen handling and packaging by the nurse circulator prior to transport to the pathology department. Errors can occur even after the specimen reaches the pathology department. These steps require a chain of events relying upon excellent coordinated effort and communication by the OR team to ensure the continuity of the patient's quality of care.
机译：安全，高效的手术室（或）函数要求由人团队进行高度积极的性能。这是通过相互依存和共同责任的精神进行优化的。通常难以在标准化和客观函数中量化基于团队的性能和通信。自我处理的准确性（包括错误率）被建议为替代品以来，由于不够完全处理标本的组织，以适当地处理样品的组织可能会在多个领域短暂。标本处理中的错误具有严重影响，包括延迟护理，未使用适当的治疗和误诊。这些错误可以从识别误差，组织网站，源误差和样本损失范围内。在一所大学医院，在4.3 / 1000标本中发现了鉴定错误。该过程涉及外科医生的初始标本检索的许多步骤，由护理技术人员（包括右/左侧）和标本处理和包装在运输到病理部门之前的初始试样。即使在标本到达病理署后，也可能发生错误。这些步骤要求一系列事件依赖于或团队的优秀协调努力和沟通，以确保患者的护理质量的连续性。

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