选择性手术患者的手术前调查实践:临床审计
Meseret Firde1, Tikuneh Yetneberk2
1Department of Anesthesia, Debre Tabor University, Po.box: 272, Debre Tabor, Ethiopia. mesiwyeabeye@gmail.com.
BMC anesthesiology
|May 23, 2024
概括
在手术实践中,不必要的手术前检测仍然很普遍,超过20%的检测不符合国家卫生和护理卓越研究所 (NICE) 的指南. 详细的病史和体检对于适当的测试选择至关重要.
科学领域:
- 在外科手术实践中.
- 医疗保健服务研究 医疗服务研究
- 临床指南 临床指南
背景情况:
- 手术前的调查确定了患者的风险,指导了手术规划,并告知了同意.
- 目前的手术前检测实践在各机构和临床医生之间存在很大差异.
- 这项研究评估了遵守国家卫生和护理卓越研究所 (NICE) 关于手术前检测的指南.
研究的目的:
- 调查当前的手术前检测实践.
- 将这些做法与已建立的NICE指南进行比较.
- 为了确定在手术前测试订单中不遵守的领域.
主要方法:
- 在Debre Tabor综合专科医院进行为期三个月的机构研究 (2023年5月至7月).
- 包括247名接受选择性妇科,骨科和一般手术的成年患者.
- 通过自我管理的问卷收集关于患者特征,并发病症,外科手术侵入性和下令测试的数据,然后与NICE建议进行比较.
主要成果:
- 总共有350项调查被要求对247名患者进行调查.
- 20.28% (71个测试) 没有理由或违反NICE指南而订购.
- 大多数患者 (43.32%) 的年龄在16-40岁之间,美国麻醉学会 (ASA) 一级.
结论:
- 在外科临床实践中,不必要的手术前检测,特别是对器官功能,心电图和FBC的检测是常见的.
- 遵守NICE手术前调查指南需要改进.
- 术前检测的临床决定必须优先考虑患者病史,体检和外科侵入性.
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