相关实验视频
Updated: Jun 15, 2025

06:24
A Spine Robotic-Assisted Navigation System for Pedicle Screw Placement
Published on: May 11, 2020
8.8K
社区特权和非计划性手术对于访问敏感的外科条件
Muhammad Musaab Munir1, Selamawit Woldesenbet, Timothy M Pawlik
1Department of Surgery, The Ohio State University Wexner Medical Center and James Comprehensive Cancer Center, Columbus, OH.
Annals of surgery
|August 23, 2024
概括
享有较低特权的地区与更高的无计划手术率和更糟糕的患者治疗结果有关. 这突显了特权作为影响外科治疗质量的健康的关键社会决定因素.
科学领域:
- 手术成果研究的研究结果.
- 关于健康公平性的研究.
- 健康的社会决定因素 (SDOH) 分析
背景情况:
- 健康的社会决定因素 (SDOH) 显著影响医疗保健的获取.
- 特权,定义为优势或机会,积极影响SDOH.
- 了解特权的作用对于解决健康差异至关重要.
研究的目的:
- 研究社会经济特权与外科手术结果之间的关联.
- 为了确定特权是否会影响无计划手术的发生率,对于访问敏感的条件.
- 检查特权对外科手术患者外科手术后期结果的影响.
主要方法:
- 使用了加利福尼亚州卫生保健准入和信息 (HCAI) 数据库 (2017-2020年).
- 包括接受腹腔大动脉动脉瘤修复,腹腔修复或结肠癌切除术的患者.
- 将患者数据与极端度指数 (ICE) 合并,使用邮政编码来衡量特权.
主要成果:
- 分析了185,316次手术;近一半是没有计划的 (46.9%).
- 与享有最高特权地区 (Q5) 相比,享有最低特权地区 (Q1) 的患者有较高的无计划手术率 (55.4%对39.4%).
- 最不享有特权的地区显示住院患者死亡率增加 (OR 1.41),并发症 (OR 1.24) 和延长住院时间 (OR 1.16).
结论:
- 特权与无计划手术率和不良临床结果有显著的关联.
- 这个协会强调特权作为一个关键的SDOH影响手术护理的获取和质量.
- 调查结果强调需要解决社会经济因素,以改善外科手术公平.
相关概念视频
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
66
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
66
Ethical Standards II
653
Ethical standards are the backbone of nursing practice, guiding nurses as they interact with patients, families, and colleagues. These standards are crucial for providing safe, empathetic care centered on the patient's needs.
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
Nurses are entrusted with upholding various ethical principles and standards. Nurses forge solid therapeutic relationships using trust, empathy, autonomy, confidentiality, and professional competence.
Confidentiality is crucial, embodying respect for individual privacy...
653
Psychosurgery
51
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
51
Standard Precaution
1.9K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.9K
SBAR II: Application of SBAR
4.3K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
4.3K
Standards of Care I
670
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
670

