关于手术内不良事件的叙述性审查:风险,预防和缓解
Nisrine Kawa1, Tarek Araji2, Haytham Kaafarani3
1Department of Dermatology, New York Presbyterian Hospital, Columbia University Irving Medical Center, New York City, New York.
The Journal of surgical research
|December 9, 2023
概括
术内不良事件 (IAE) 是常见的手术风险. 了解它们的各种风险因素和影响对于制定有效的监测和缓解策略以提高患者安全至关重要.
科学领域:
- 手术安全和质量改善.
- 患者结局研究研究结果.
- 医疗保健风险管理 医疗保健风险管理
背景情况:
- 手术中的不良事件频繁发生,并造成重大负担.
- 虽然术后并发症得到了充分的研究,但手术内不良事件 (IAE) 需要进一步调查.
- 了解IAEs对于提高整个手术过程中的患者安全至关重要.
研究的目的:
- 审查有关手术内不良事件 (IAE) 的现有文献.
- 讨论与IAE相关的各种风险因素.
- 探索IAE对手术护理和患者结果的影响.
- 突出目前减轻和管理IAE的战略.
主要方法:
- 文献综述侧重于手术内不良事件 (IAE).
- 分析风险因素,影响和缓解策略.
- 综合发现,以提供全面的概述.
主要成果:
- iAE风险因素包括患者特征,手术复杂性,外科医生经验和手术室环境.
- 间接性创伤与术后发病率和死亡率的增加,住院时间的延长,成本的增加以及外科医生 (第二次受害者) 的情感痛苦有关.
- 对IAE的透明报告是具有挑战性的,但至关重要的.
结论:
- 尽管报告存在挑战,但正在制定新的IAE监测,预防和缓解措施.
- 这些努力旨在减少IAE对外科护理的不利影响.
- 持续的研究和实施战略对于改善外科安全至关重要.
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