[摘要] 洁净手术室是一个多环节复杂系统，存在高度不确定的应用风险性。建议将洁净手术室系统纳入医院的风险管理，实行洁净手术室的专业化操作，制定规范、行之有效的洁净手术室风险监测与预警机制，将是减少或避免由于洁净手术室系统导致医疗事故发生的关键。

    [关键词] 洁净手术室；医疗风险管理

    [Abstract] Clean operating room is a complicated system with many interdependent parts.When in use,it could bring some highly uncertain hazards.So running a clean operating room should be a part of a hospital’s risk managing.The key points of reducing and avoiding medical treatment accident caused by the failure of clean surgery system exist in ways of operating the clean surgery professionally,making rules,founding a highly effective clean surgery monitoring and alarm system.

    [Key words] clean operating room；medical risk management

    在医疗服务过程中发生因医疗失误或过失而导致患者死亡 ......