成立医、护、技、管多学科协作团队,针对降低肝癌患者腹腔镜肝切除术后并发症发生率开展品管圈活动.建立了术前、术中、术后 3 大创新改进策略,包括:创建"FLAG"评估策略,精准预测残肝功能,精确规划手术方案;构建"4D"策略,精准切除肿瘤病灶,精确控制术中出血;创建"4P"策略,精准预测术后风险,精确实施风险管理.通过改进,肝癌患者腹腔镜肝切除术后并发症发生率从 22.76%降低至 7.09%,促进了患者快速康复,降低了医疗风险.
A multidisciplinary team of medicine,nursing,technology and management was established to carry out quality control circle activities aimed at reducing the incidence of complications after laparoscopic hepatectomy in patients with liver cancer.Three innovative improvement strategies were established before operation,during operation and after operation,including:creating a"FLAG"evaluation strategy,accurately predicting residual liver function,and accurately planning surgical programs;establishing the"4D"strategy to accurately remove tumor lesions and accurately control intraoperative bleeding;creating a"4P"strategy to ac-curately predict postoperative risks and accurately implement risk management.Through the improvement,the complication rate of patients with liver cancer after laparoscopic hepatectomy was reduced from 22.76%to 7.09%,which promoted the rapid recovery of patients and reduced the medical risk.