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| Application of 4R crisis management theory combined with hierarchical management model in operating room management, and its impact on comfort and adverse events |
| ZHANG Zehao1 YANG Minli2 FENG Yuanyuan3 WANG Yu1▲ |
1.Department of Operating Room, the First Affiliated Hospital of Air Force Military Medical University of the Chinese People's Liberation Army Xijing Hospital, Shaanxi Province, Xi’an 710000, China;
2.Department of Plastic Surgery Operating Room, the First Affiliated Hospital of Air Force Military Medical University of the Chinese People's Liberation Army Xijing Hospital, Shaanxi Province, Xi’an 710000, China;
3.Department of Anesthesia and Perioperative Medicine Center, Xi’an People’s Hospital the Fourth Hospital of Xi’an, Shaanxi Province, Xi’an 710000, China
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Abstract Objective To explore the application of 4R crisis management theory combined with hierarchical management model in operating room management and its impact on comfort and adverse events. Methods A total of 80 patients and 42 nurses in the operating room of the First Affiliated Hospital of Air Force Medical University from March 2021 to March 2022 were selected as the research objects, nurses and patients were divided into control group and study group according to random number table method, control group (40 patients, 21 nurses) and study group (40 patients, 21 nurses). The control group adopted 4R crisis management theory mode, and the research group adopted 4R crisis management theory combined hierarchical management mode. Both groups were intervened for two months. The differences of operating room theory and performance of operating skills, nursing quality, comfort level, and occurrence of adverse events were compared. Results The results of nurses’ operating room theory, and operating skills in the study group were higher than those in the control group (P＜0.05). The nursing quality of study group was higher than that of control group (P＜0.05). After intervention, social, environmental, psychological, physiological, and total scores in two groups were higher than those of before intervention, and the study group was higher than the control group (P＜0.05). The incidence of total adverse reactions in study group was lower than that in control group (P＜0.05). onclusion 4R crisis management theory combined with hierarchical management mode applied in operating room management can effectively improve the theoretical and operational skills of nursing staff, improve nursing quality and patient comfort, and reduce the probability of adverse events.
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