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紧急外科手术活动的手术室管理 (ORSA) 研究:一项WSES国际调查
Belinda De Simone1, Vanni Agnoletti2, Fikri M Abu-Zidan3
1Department of Emergency and Trauma Surgery, Villeneuve St Georges Academic Hospital, Villeneuve St Georges, France. desimone.belinda@gmail.com.
Updates in surgery
|January 8, 2024
概括
许多医院缺乏专门的急诊手术室,导致选择性手术的延迟和取消. 需要一个经过验证的分类系统,以有效地优先考虑紧急外科手术程序,并提高患者的安全.
科学领域:
- 紧急手术 紧急手术
- 手术管理的手术管理.
- 医疗保健操作 医疗保健操作
背景情况:
- 紧急和创伤手术的发病率和死亡率很高,部分原因是OR延迟.
- 关于手术室 (OR) 优先级和紧急手术资源分配的研究有限.
- 紧急手术活动的手术室管理 (ORSA) 研究评估了急性护理外科医生的全球OR管理实践.
研究的目的:
- 评估全球手术室紧急外科活动的当前管理和资源配置.
- 确定在优先考虑和安排紧急外科手术程序方面的挑战和需要改进的领域.
主要方法:
- 在专家急性护理外科医生中进行了一项国际网络调查.
- 该调查包括23个多项选择和开放式问题.
- 数据是在3个月的时间内匿名和自愿收集的.
主要成果:
- 147名外科医生参与了试验 (58.8%的应答率),主要来自欧洲.
- 大多数医院 (81%) 有专门的急诊手术室,但13.6%没有.
- 68%的外科医生在白天紧急手术时使用选择性手术室,70%的外科医生通过电话安排紧急情况.
结论:
- 在国际上,缺乏专门的紧急手术室是常见的,这影响了选择性手术安排.
- 迫切需要一个通用的,经过验证的紧急手术分拣和安排系统.
- 急性护理外科手术 (TACS) 工具的时间要求进行前性验证;为患者安全和资源优化,对物流的多学科方法至关重要.
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