李春来　陈红梅

【摘要】 由于手术室工作具有一定的特殊性，护理人员需要在术后担任注射、建立静脉通路、传递各类医疗器械及手术器具等相关工作，同时在术后还与各种缝针、针头及手术刀等锐器接触，这就造成以锐器伤为代表的安全隐患事件发生率较高，致使护理服务质量下降。在手术室护理工作中，以患者为护理服务主体，以护理安全隐患、护理服务质量为工作指导原则，从不同方面提高手术治服务质量，加强护理服务质量。护理质量敏感性指标是评估临床护理服务质量的系统工具，具有科学化、能够被量化、高敏感等特点，是判断护理服务质量、加强护理服务质量管理、降低护理风险的重要环节，具有良好的指导意义，适用于护理服务质量的持续改进及优化。

【关键词】 手术室； 护理质量敏感性指标； 研究进展

doi：10.14033/j.cnki.cfmr.2018.15.081 文献标识码 A 文章编号 1674-6805（2018）15-0-03

Research Progress on Sensitivity Index of Nursing Quality in Operating Room/LI Chunlai，CHEN Hongmei.//Chinese and Foreign Medical Research，2018，16（15）：-188

【Abstract】 As a result of the special work of the operating room，nurses need to be injected after the operation，the establishment of intravenous access，the transmission of various types of medical equipment and surgical instruments and other related work，while also with a variety of needle.As well as scalpels and other sharp contact，which led to sharp injuries as the representative of the high incidence of security risks，resulting in decreased quality of care services.In the operating room care work，the patient for the care of the main body of care to care security risks，the quality of care for the work of the guiding principles，from different aspects to improve the quality of surgical treatment services to strengthen the quality of care services.Quality index of nursing care is a systematic tool to evaluate the quality of clinical nursing service.It has the characteristics of scientific，quantifiable and sensitive.It is an important part of judging the quality of nursing service，strengthening the quality of nursing service and reducing nursing risk.The guiding significance for the continuous improvement and optimization of the quality of care services.

【Key words】 Operating room； Nursing quality sensitivity index； Research progress

First-authors address：Peoples Hospital of Liangping District Chongqing Municipality，Chongqing 405200，China

隨着社会的不断向前发展，民众对于手术等医疗措施的安全要求日趋提高。而不可否认的是，手术室护理风险依然存在，对患者的康复产生不同程度的潜在威胁，因此需掌握手术护理安全隐患相关因素，并施行有效对策，有助于减低手术室安全隐患，保证手术室在民众心中树立了正面形象[1-3]。在手术室护理工作中，强调风险管理，以患者为护理服务主体，以护理综合管理方法为围术期护理工作指导原则及方案，建立并完善手术室消毒及医务人员无菌操作管理制度，强调手术器械及相应医疗物品的消毒灭菌，提高医护默契度，积极提高护理专业素养，有利于加强围术期护理质量，降低医源性感染风险，从整体层面强化护理服务质量[4-7]。……