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在门诊外科中心停留23小时:好处,途径和协议
Alberto E Ardon1, Sindhuja Nimma1, Olga C Nin2
1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Jacksonville.
Current opinion in anaesthesiology
|August 24, 2023
概括
在门诊外科中心 (ASCs) 进行23小时的术后停留是安全的,只要仔细选择患者. 建立清晰的临床途径和协议对于在ASC成功过夜至关重要.
科学领域:
- 健行外科手术 健行外科手术
- 术后护理 术后护理
- 医疗保健管理的管理
背景情况:
- 门诊手术日益复杂,需要评估延长的观察期.
- 在门诊外科中心 (ASC) 过夜的可能性是一个新兴的考虑因素.
- 预期的23小时观察可能有利于选择患者,而不是当天出院.
研究的目的:
- 审查ASC23小时术后住院的临床,财务和后勤方面的证据.
- 探索ASC内部实施过夜单位的影响.
主要方法:
- 对最近证据的文献综述.
- 对临床安全,财务可行性和后勤需求的分析.
- 检查患者选择标准和协议开发.
主要成果:
- 当优先考虑患者选择和优化时,ASC中的23小时停留在临床上是安全的.
- 财务影响取决于支付结构和与医院中心的比较.
- 开发临床途径和协议对于成功实施至关重要.
结论:
- 过夜在ASC可以安全和经济有利的适当规划.
- 有效的患者选择和强大的协议对于23小时术后病房的成功至关重要.
- 通过管理良好的长期观察期,ASC可能会减少意外入院.
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