达.芬奇手术机器人应用质量分析与风险控制
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摘要
目的:提升达.芬奇手术机器人临床应用质量与效果,以加强临床应用风险控制。方法:结合达.芬奇手术机器人临床应用管理的实际,从临床使用、护理配合、技术保障及器械洗消等临床技术流程环节为医疗机构提出相应的管理策略。结果:通过医、护、技等多部门配合,提升了手术机器人的临床应用质量与效果,梳理了维护管理典型案例,为2017年成功开展各类机器人手术539例提供了技术保障。结论:基于达.芬奇手术机器人临床应用的技术流程诸环节开展质量分析、精准落实风险控制措施,有利于降低其潜在安全风险,提升临床应用质量与水平。
Objective: To improve the quality and effect of clinical application of Da Vinci surgical robot so as to strengthen the risk control in clinical application. Methods: Combined with the management actual of clinical practice of Da Vinci surgical robot, it puts forward corresponding management strategies for medical institutions from the series aspects included clinical use, nursing coordination, technical support, instrument decontamination and so on. Results: Through the cooperation of multi-departments included medical department, nursing department and technique department, the quality and effect of surgical robot in clinical application were enhanced, and the typical cases of maintenance and management were organized, and the medical safety was ensured. Conclusion: The implementations of quality analysis on clinical application of Da Vinci surgical robot and risk control measures will contribute to reduce the potential risks about safety of Da Vinci surgical robot and improve the quality and level of clinical application of Da Vinci surgical robot.
Objective: To improve the quality and effect of clinical application of Da Vinci surgical robot so as to strengthen the risk control in clinical application. Methods: Combined with the management actual of clinical practice of Da Vinci surgical robot, it puts forward corresponding management strategies for medical institutions from the series aspects included clinical use, nursing coordination, technical support, instrument decontamination and so on. Results: Through the cooperation of multi-departments included medical department, nursing department and technique department, the quality and effect of surgical robot in clinical application were enhanced, and the typical cases of maintenance and management were organized, and the medical safety was ensured. Conclusion: The implementations of quality analysis on clinical application of Da Vinci surgical robot and risk control measures will contribute to reduce the potential risks about safety of Da Vinci surgical robot and improve the quality and level of clinical application of Da Vinci surgical robot.
引文
[1]杜祥民,张永寿.达芬奇手术机器人系统介绍及应用进展[J].中国医学装备,2011,8(5):60-63.
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[5]谢申菊,王成,汪鹏飞.达芬奇手术机器人系统的临床使用与管理[J].中国医学装备,2016,13(1):44-47.
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[7]唐鲁,李晓芳,朱国雄,等.达芬奇机器人手术与传统腔镜手术护理配合的比较与启示[J].中国实用护理杂志,2016,32(14):1115-1117.
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[10]申培培,张琼,吕雪青,等.达芬奇手术机器人术中故障发生原因及改进措施[J].护理学杂志,2017,32(12):50-51.
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[13]闫志文,邬华阳.达芬奇Si手术机器人系统使用注意事项及常见故障处理[J].中国医疗器械信息,2016,22(6):112-114.
[14]余冬兰,刘阳萍,李宏行,等.达芬奇Si手术机器人系统的质量控制[J].中国医疗设备,2016,31(1):128-131.
[15]索晋柳,花瑞芳,李宁龙,等.达芬奇机器人手术器械的清洗灭菌管理[J].中国消毒学杂志,2017,34(1):97-99.
[16]赵小丽,靳寸朵,麻雷,等.全程质量管理在达芬奇机器人器械清洗中的应用[J].中华现代护理杂志,2017,23(31):3988-3989.
[17]银彩霞,赵悦,董薪,等.达芬奇机器人手术器械规范化清洗管理的效果观察[J].中华医院感染学杂志,2011,21(6):1166-1167.
[2]喻佳洁,王应强,李幼平,等.达芬奇手术系统安全性和有效性的快速评估[J].中国循证医学杂志,2014,14(5):530-540.
[3]Swerdlow DR,Cleary K,Wilson E,et al.Robotic Arm-Assisted Sonography:Review of Technical Developments and Potential Clinical Applications[J].AJR Am J Roentgenol,2017,208(4):733-738.
[4]叶万胜.大型综合型医院医疗器械综合管控策略研究[J].现代医学与健康研究,2018,2(12):177.
[5]谢申菊,王成,汪鹏飞.达芬奇手术机器人系统的临床使用与管理[J].中国医学装备,2016,13(1):44-47.
[6]刘志坚,吴超,胡风华,等.项目管理在达芬奇手术机器人中的应用[J].解放军医院管理杂志,2016,23(5):418-420.
[7]唐鲁,李晓芳,朱国雄,等.达芬奇机器人手术与传统腔镜手术护理配合的比较与启示[J].中国实用护理杂志,2016,32(14):1115-1117.
[8]Murphy DG,Sundaram CP.Comparative assessment of three standardized robotic surgery training methods[J].BJU International,2013,112(6):713-714.
[9]王春灵.达芬奇手术机器人系统手术的护理配合[J].中国临床医学,2013,20(1):87-88.
[10]申培培,张琼,吕雪青,等.达芬奇手术机器人术中故障发生原因及改进措施[J].护理学杂志,2017,32(12):50-51.
[11]王振,甘卫东,张古田,等.单中心达芬奇机器人手术系统故障分析及对策[J].中华腔镜泌尿外科杂志:电子版,2017,11(4):5-9.
[12]潘冬青,滕成玲,申培培."达芬奇"机器人手术中常见的故障原因分析及对策[J].医学研究生学报,2013,26(1):52-53.
[13]闫志文,邬华阳.达芬奇Si手术机器人系统使用注意事项及常见故障处理[J].中国医疗器械信息,2016,22(6):112-114.
[14]余冬兰,刘阳萍,李宏行,等.达芬奇Si手术机器人系统的质量控制[J].中国医疗设备,2016,31(1):128-131.
[15]索晋柳,花瑞芳,李宁龙,等.达芬奇机器人手术器械的清洗灭菌管理[J].中国消毒学杂志,2017,34(1):97-99.
[16]赵小丽,靳寸朵,麻雷,等.全程质量管理在达芬奇机器人器械清洗中的应用[J].中华现代护理杂志,2017,23(31):3988-3989.
[17]银彩霞,赵悦,董薪,等.达芬奇机器人手术器械规范化清洗管理的效果观察[J].中华医院感染学杂志,2011,21(6):1166-1167.