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减少胸部排水过度使用通过实施一个膜排水顺序设置
Pattraporn Tajarernmuang1, David Valenti, Anne V Gonzalez
1Author Affiliations: Respiratory Division, Department of Medicine (Drs Tajarernmuang, Gonzalez, and Beaudoin) and Department of Radiology (Drs Valenti, Artho, and Tsatoumas), McGill University Health Centre, Montreal, Quebec, Canada; and Division of Pulmonary, Critical Care, and Allergy, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand (Dr Tajarernmuang).
实施电子订单集显著减少了胸部排水过度使用的胸腔液,改善程序选择和降低成本,而不会增加重复程序或并发症.
科学领域:
- 医学成像和放射学医学成像和放射学
- 胸部外科手术 胸部外科手术
- 干预性放射学 干预性放射学
背景情况:
- 胸部小排水管经常被过度使用用于多流,可能导致不良后果.
- 这种过度使用需要策略来优化胸部排水程序的使用.
研究的目的:
- 为了减少过度使用胸部排水管在处理多流的过程中.
- 评估电子订单对胸腔排水利用和程序适当性的影响.
主要方法:
- 采用了介入前和介入后的研究设计,比较了在实施电子订单集之前和之后的胸腔手术.
- 该订单包括胸部排水管插入的标准说明,指定排水管大小和术后订单.
- 测量结果包括整体胸部排水使用,非指示排水的比例,重复手术,并发症和成本.
主要成果:
- 干预后的胸部排水使用率从86.5%降至54.8% (P < .001).
- 没有指示插入的排水的比例从45.4%降至29.4% (P = .01).
- 没有观察到重复手术,并发症或住院时间的显著增加;每次手术的直接手术费用减少了27加拿大美元.
结论:
- 一个电子胸腔排水命令集有效地减少了胸部排水过度使用,并提高了程序的适当性.
- 这种干预措施为那些无法使用小胸部排水器进行多叶流液的机构提供了宝贵的工具.
- 订单集证明了成本效益,并保持了程序的安全性和有效性.
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