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儿科手术中的选择性手术取消:率和原因

Maha Ben Mansour¹, Oussama Lassioued², Sawsen Chakroun¹

¹Department of Anesthesiology and Reanimation, Fattouma Bourguiba University Hospital, Monastir, Tunisia.

|August 1, 2023

概括

儿童选择性手术取消的发生率为9.2%,主要是由于医疗和麻醉原因,如感染和异常测试. 解决方案应侧重于改善患者护理和安排,以减少这些干扰.

科学领域:

儿科手术儿科手术
医疗保健管理的管理
患者安全患者安全

背景情况:

儿童选择性手术取消会破坏手术室的效率,造成财务损失,并造成心理痛苦.
高取消率会对医疗保健系统和患者的治疗结果产生负面影响.

研究的目的:

确定儿童选择性手术取消的主要原因.
建议解决方案,以尽量减少在儿科外科设置取消.

主要方法:

在12个月内进行了一项前性描述性研究.
数据是从Fattouma Bourguiba大学医院的儿科外科部门收集的.

主要成果:

在1426次计划中的儿科手术中,共有131次 (9.2%) 被取消.
医疗和麻醉相关问题 (62.5%) 是主要原因,包括上呼吸道感染 (36.6%) 和异常血液检测 (16%).
其他重要因素包括手术原因 (16%),组织问题 (11.5%) 和患者相关因素 (10%),如不遵守禁食 (9.2%).

结论:

9.2%的取消率超过了5%的可接受平均值.
实施加强儿童医疗护理,优化操作安排和改善资源利用的战略至关重要.
需要采取主动措施,以减少儿科选择性手术取消的发生率.

关键词:

选择性手术是可以选择的.操作室. 操作室. 取消取消取消取消取消取消取消取消取消儿科外科手术儿科外科手术

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