关键词: 同行评议, 手术室护理, 腹腔镜阑尾切除

Abstract: ［Abstract］ Objective To explore the effect of nursing by peer review combined with performance check on enhancing nursing pathway in operation room. Methods 104 patients underwent laparoscopic appendectomy in Maoming People??s Hospital from January to June 2017 were selected and divided into observation group and control group， 52 cases in each group. The patients in the control group were given routine nursing intervention， while those in the observation group were performed a new operating room nursing protocol （on the basis of the control group， strengthening and emphasizing the execution of each procedure， quantifying nursing details according to different weights）. The effects of nursing during appendectomy procedure were scored by peer review and performance examination. The clinical indicators， complications， nursing errors or problems， and doctor?patient satisfaction were compared between the two groups. Results The time from entering the operating room to returning to the ward and the total hospitalization time of the patients in the observation group were shorter than those in the control group （P<0.01， P<0.001， respectively）. The incidences of potential safety incidents in the observation group were lower than those in the control group （P<0.05）. There was no significant difference between the two groups in the occurrence of anesthesia accidents， organ injuries and postoperative infections. Conclusions Nursing peer review combined with performance check can promote participants activity to implement the operating room nursing， shorten the operating room time， reduce errors， and improve patients’ satisfaction with the nursing work in the operating room.

Key words: peer review, operating room nursing, laparoscopic appendectomy