手术当天患者发生的意外事件:一个单中心的前性观察研究
Ahmet Aydın1, Zeynep Köylü1, Mesut Öterkuş1
1Department of Anesthesiology and Reanimation Clinic, Malatya Turgut Ozal University Malatya, Malatya, Turkey.
概括
许多手术取消的原因是可以预防的问题,特别是未被诊断的高血压. 优化手术前护理可以减少当天手术取消和改善患者的结果.
科学领域:
- 麻醉学 麻醉学
- 心脏病学 心脏病学
- 手术护理 手术护理
背景情况:
- 同一天的手术取消会影响医疗保健效率和患者体验.
- 识别取消的原因对于改善外科手术工作流程至关重要.
研究的目的:
- 调查同一天手术取消的原因.
- 为了确定手术当天的意外事件和取消率.
主要方法:
- 在单一医院进行前性,横截面研究.
- 取消原因分类为可预防或不可预防的原因.
- 记录患者意外事件和取消,根据ACC/AHA指南评估血压.
主要成果:
- 在4287次选择性手术中,病例取消率为2.16%.
- 未诊断的高血压是意外事件的主要原因 (52%).
- 30名被诊断为高血压的患者出现严重升高,导致83.3%的患者取消治疗.
结论:
- 可预防的因素占取消的60.2%.
- 有相当数量的患者患有未诊断或管理不良的高血压.
- 加强手术前评估和护理护理对于减轻取消手术的情况至关重要.
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