改善埃塞俄比亚哈瓦萨的外科手术期间死亡率数据采集:一项混合方法研究
Ajiel Mae F Basmayor1, Jerusalem Fissehatsion2, Biruk Woisha2
1Division of Trauma, Critical Care and Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Froedtert & Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
World journal of surgery
|May 19, 2025
概括
埃塞俄比亚 埃塞俄比亚 埃塞俄比亚
科学领域:
- 全球健康 全球健康
- 外科手术的结果
- 医疗信息学 医疗信息学
背景情况:
- 埃塞俄比亚2015年国家计划,以提高外科手术能力.
- 实施外科指标进行进展监测.
- 关注西达马地区最大的转诊医院的术后死亡率 (POMR).
研究的目的:
- 调查外科手术期间死亡率 (POMR).
- 在多个来源中比较POMR数据.
- 评估数据收集实践和挑战.
主要方法:
- 术后死亡率定义为重大手术后在出院前的死亡.
- 提取了手术死亡和体积数据 (2022年7月至2023年5月).
- 来自纸质登记册,排放信息,HMIS和DHIS的POMR比较2.
- 与17名医疗保健专业人员和数据官进行了定性采访.
主要成果:
- 报告的一年POMR变化为:0.9% (注册),0.9% (释放信息),0.5% (HMIS),0.6% (DHIS2).报告的一年POMR变化为:0.9% (注册),0.9% (释放信息),0.5% (HMIS),0.6% (DHIS2).
- 采访显示定期跟踪,但强调缺乏电子系统是障碍.
- 提出的解决方案包括改进数据质量监测,培训和设备.
结论:
- 在POMR数据中的差异源于不一致的输入和缺乏整合的术后死亡跟踪.
- 训练有素的工作人员和数字记录系统对于改善POMR数据捕获至关重要.
- 解决数据收集挑战对于有效的外科结果监测至关重要.
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