根本原因分析法在术中压疮管理中的应用

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Abstract Objective To explore the applicability of root cause analysis (RCA) to the prevention of intraoperative pressure sores.Methods Patients who had received operations under general anesthesia between November 2014 and October 2015 were selected as the control group while those between November 2015 and October 2016 after the application of RCA were chosen as the observation group. In this research, the incidence of intraoperative sores in the two groups was compared, and the efficiency of RCA in the prevention of intraoperative pressure sores was evaluated.Results The incidence of intraoperative pressure sores in the observation group and control group was 0.27% (41 cases) and 0.40% (69 cases), respectively (χ²=6.84,P＜0.01).The incidence of intraoperative pressure sores in high-risk patients was 30.23% (26/86) in the observation group, but was 52.80% (38/72) (χ²=14.45,P＜0.01) in the control group. The percentage of stageⅠsores, stage Ⅱ sores, and deep tissue injury in intraoperative pressure sores in the observation group was 78.05%, 21.95% and 0%, respectively, compared with 69.56%, 26.09% and 4.35% respectively in the control group. The difference between the two groups in stage distributions was significant (Z=-2.098,P=0.036).Conclusions Root cause analysis is an efficient method for preventing the occurrence of intraoperative pressure sores and is worthy of wide application.

Key words： root cause analysis operation pressure sores prevention

Received: 20 December 2016

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	Articles by authors
	LIU Xiaoyan
	SUN Ling
	LI Juan
	LI Ying
	and ZHANG Wenjing

Cite this article:

LIU Xiaoyan,SUN Ling,LI Juan等. Application of root cause analysis tomedium pressure sore prevention[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(5): 455-457.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2017/V28/I5/455

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