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Operating room error accident prevention management system

Legal analysis: 1. To prevent receiving the wrong patient, hold the surgery notice, check the ward, patient name, gender, hospitalization number, surgery name, surgery time, and ask whether they have fasted, defecated, and used Preoperative medicines should be checked again by the anesthesiologist, circulating nurse, and operating physician before anesthesia and before the operation begins.

2. To prevent the wrong surgical site, the doctor must be detailed when filling out the surgery notice. Write down the name and site of the operation, and check medical records and X-rays before placing the patient in a position. Awake patients can directly ask themselves, and the surgeon will check again before surgery to avoid mistakes in the surgical site.

3. Prevent medication errors or drug allergies,

6. Prevent injuries, bruises and falling out of bed.

Legal basis: "Management System for Preventing Errors and Accidents in Operating Rooms of the People's Republic of China"

Article 1: To prevent receiving the wrong patient, hold the operation notice and check the ward and patient Name, gender, hospitalization number, operation name, operation time, asking whether fasting, defecation, and whether preoperative medicine has been used, will be checked again by the anesthesiologist's circulating nurse and the operating surgeon before anesthesia and before the operation begins.

Article 2: To prevent the wrong surgical site, the doctor must be detailed when filling out the surgical notice. Write down the name and site of the operation, and check medical records and X-rays before placing the patient in a position. Awake patients can directly ask themselves, and the surgeon will check again before surgery to avoid mistakes in the surgical site.

Article 3 To prevent medication errors or drug allergies, strictly implement three checks and seven pairs. When using more than two drugs, they should be marked to prevent misuse. Used ampoules, bottles, etc. should be placed in a fixed place. position and can be discarded after the operation.

Article 4: Prevent mistakes in blood transfusion. Before transfusion, two people should check the blood list, medical records and blood bag. Carefully check whether the blood bag is tight and whether there is any damage, hemolysis, clots, floc, etc. During the blood transfusion process, pay attention to the speed, maintain smoothness, and observe whether there is any reaction. Wash the blood with 0.9% saline between two blood transfusions. Place the used blood bag in a fixed position before handling it after the patient leaves the operating room.

Article 5: To prevent electrosurgical burns, operate according to the operating procedures. The electrode plate should be placed flatly on the fleshy area. The contact area between the electrode plate and the skin should not be less than 10×10cm. The skin of any part of the patient should not be Contact with metal parts of the operating table.

Article 6: Prevent injuries, bruises and falling from the bed. Before picking up the patient, check whether the cart is damaged and whether the wheels are flexible. When pushing the patient, instruct the patient not to put his hands and feet beyond the edge of the bulldozer to prevent In case of injury when entering or exiting the door, the patient's head should be at the same end as the person pushing the trolley to reduce discomfort caused by vibration. The patient should be pushed smoothly and moved lightly. Someone should support the patient with his or her body when moving the patient to the operating table or trolley. The cart should be secured to prevent falling from the bed, car, confusion, coma, patients who are not awake from general anesthesia, mental patients, and pediatric patients when transporting them. After entering the operating room, there should be supervision to restrain them when necessary.