Optimization of the surgical process in the combined magnetic resonance imaging operation room and application of the scanning safety check plan
10.3760/cma.j.cn115682-20200317-01866
- VernacularTitle:磁共振复合手术间手术流程优化及扫描安全核查方案的应用
- Author:
Wei WEI
1
;
Yu WANG
;
Zengmei ZHANG
;
Liqun SUN
Author Information
1. 郑州大学第一附属医院手术部，郑州 450052
- Keywords:
Operation Room;
Visual management;
Point-to-point;
Safety check;
Intraoperative magnetic resonance imaging
- From:
Chinese Journal of Modern Nursing
2020;26(26):3601-3604
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To formulate a safety check plan for intraoperative magnetic resonance imaging (IMRI) , and provide a reference for the management of the combined MRI operation room.Methods:Totally 207 intracranial mass lesion surgeries performed in the combined MRI operation room of the First Affiliated Hospital of Zhengzhou University in 2019 were selected. Based on the visual management theory, the "point-to-point" fixed homing method and the "four-party" safety checklist for IMRI were designed to adjust the surgical process. After optimization, the surgeons, anesthesiologists, itinerant nurses and magnetic resonance physicians who participated in the scan safety check were interviewed to evaluate the effect of process improvement. The interview data were collected and analyzed using Colaizzi's phenomenological seven-step analysis method.Results:The interviews with surgeons, anesthesiologists, itinerant nurses and magnetic resonance physicians could boil down to two themes: fixed-point placement of items could ensure the safety of IMRI; "four-party" safety check could ensure patients' safety.Conclusions:The optimized surgical process in the combined IMRI operation room and the scanning safety check plan can ensure the safe homing of non-compatible items, improve the efficiency of scanning safety check, and enhance the safety of IMRI.
