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1、SpecializedStaffandEquipmentforWeightLossSurgeryPatients:BestPracticeGuidelinesAnthonyD.Whittemore,*JohnKelly,†ScottShikora,‡RobertJ.Cella,§ThomClark,¶LeslieSelbovitz,andLoringFlint**AbstractneededadaptationstothephysicalplantanddevelopedWHITTEMORE,
2、ANTHONYD.,JOHNKELLY,SCOTTevidence-basedguidelinesformedicalerrorreductionandSHIKORA,ROBERTJ.CELLA,THOMCLARK,LESLIEsystemsimprovements.SELBOVITZ,ANDLORINGFLINT.SpecializedstaffandDiscussion:Specializedresourcesanddedicatedstaffareequipmentforweightlos
3、ssurgerypatients:bestpracticeneededtoprotectthehealthofWLSsurgerypatientsandguidelines.ObesRes.2005;13:283–289.staff.AdaptationsincludepreoperativepreparationforsafeObjective:Toprovideevidence-basedguidelinesonthemeansofpatienttransport;techniquesofa
4、nesthesiaandspecializedpersonnel,equipment,andphysicalplantre-intraoperativeexposure;provisionsforpostoperativerecov-quiredforsafeandeffectivecareofseverelyobeseweightery;andmeasurestoassurepostoperativepatientsafety,losssurgery(WLS)patients.hygiene,
5、andcomfort.ResearchMethodsandProcedures:WeexaminedMEDLINE(OvidandPubMed)andtheCumulativeIndexKeywords:facilities,equipment,staffofNursingandAlliedHealthLiteratureforarticlesonfacilitiesresourcesforcareofWLSpatientspublishedinEnglishbetweenJanuary1980
6、andMarch2004.WequeriedIntroductionseveralwebsitesforappropriatereferences;theseincludedTheescalatingprevalenceofsevereobesityisbringingtheAgencyforHealthcareResearchandQualityandthetheuniquechallengesofcaringforseverelyobeseweight1AmericanCollegeofSu
7、rgeons.Themajorityofreferencelosssurgery(WLS)patientstogrowingnumbersoffacil-materialwasdescriptiveandnotspecifictofacilitiesre-ities(1).Between1990and1997,theannualrateofWLSinsourcesforWLSpatients.WeidentifiedasubstantialbodytheUnitedStatesmorethand
8、oubled(2).Lastyear,surgeonsofliteratureonthegeneralsubjectofpatientsafety;threeofperformed104,000WLSprocedures(3);thisyear,thatthesearticleswereusedtodeveloprecommendationsonthenumberisexpectedtorisetoanestimated144,000WLSuseoftechnologyformedicaler
