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安全网医院的外科病例取消:对患者护理和资源管理的影响
Shivani Srivastava1, Sneha Gandhi1, Sergio Romero Medina2
1Department of Surgery, Rutgers, New Jersey Medical School, Newark, New Jersey, USA.
World journal of surgery
|July 21, 2025
概括
手术取消很常见,特别是在同一天,在安全网医院. 调度,患者和社会因素是主要的驱动因素,需要针对性干预以提高效率.
科学领域:
- 医疗保健操作 医疗保健操作
- 手术管理的手术管理.
- 患者获得护理的机会
背景情况:
- 手术取消会破坏医院的效率,并延迟患者的护理.
- 了解取消因素至关重要,特别是在为弱势群体服务的安全网医院.
- 之前的研究还没有完全阐明在这种特定环境下取消的原因.
研究的目的:
- 分析在第三级医疗保健安全网医院中取消手术的发生率和原因.
- 确定导致当天手术取消的关键因素.
- 为减少手术延迟和改善医院运营提供有针对性的干预信息.
主要方法:
- 从2022年至2024年在一个机构进行手术病例的回顾性研究.
- 查询计划和取消手术的电子健康系统数据.
- 取消原因分为安排,患者,社会,治疗变化,设施和医疗专业因素.
主要成果:
- 整体手术取消率为17.2% (34,441例中的5939例).
- 86.3%的取消是在同一天发生的,主要手术室 (19%) 和门诊 (13%),取消率更高.
- 主要取消原因:安排 (37.3%),患者相关 (35.0%) 和社会 (12.6%).
结论:
- 显著的手术取消率,特别是当天取消,是由安排,患者和社会因素驱动的.
- 需要采取干预措施来改善患者评估,安排流程和社会支持.
- 流程改进可以提高效率并降低取消率,可能抵消干预成本.
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