探索泌尿外科手术等待时间作为护理质量指标:不同医疗保健系统的案例研究
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Updated: Jul 19, 2025

08:09
Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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Adam Walker1,2, Robert Leslie3, D Robert Siemens3
1Albany Medical College and the Urological Institute of Northeastern New York, Albany, New York.
Urology practice
|August 10, 2023
概括
在两个医院对泌尿外科手术等待时间进行比较时,发现患者获取和护理提供方面存在显著差异. 根据手术类型和患者因素等待时间有所不同,这凸显了使用等待时间作为质量指标的复杂性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 等待时间越来越多地被用作医疗保健中的质量指标.
- 了解不同医疗保健系统等待时间的差异对于评估医疗保健服务至关重要.
研究的目的:
- 在两个不同的医疗保健中心比较泌尿器科手术的等待时间.
- 评估等待时间作为泌尿病学质量指标的有用性.
主要方法:
- 对于经尿道膀瘤切除和经尿道前列腺切除的患者等待时间的回顾性审查.
- 从奥尔巴尼医疗中心和金斯顿总医院 (2011-2012) 收集的数据.
- 分析包括从决定到手术的等待时间 (等待2) 和转诊 (等待1),以及患者,外科医生和瘤因素.
主要成果:
- 经尿道膀瘤切除的中位等待时间为24天 (阿尔巴尼) 和35天 (金斯顿).
- 平均等待时间为13天 (阿尔巴尼) 和25天 (金斯顿).
- 经尿道切除前列腺的等待时间是29天 (阿尔巴尼) 和58天 (金斯顿).
- 高度瘤在奥尔巴尼的等待时间较短,但在金斯顿的等待时间较短.
结论:
- 作为手术质量的衡量标准,等待时间是复杂的,可能无法完全捕捉护理交付问题.
- 摘要等待时间 (等待2) 单独可能无法识别潜在的结构或过程低效率.
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