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在24小时内选择性骨科手术取消:这是一个问题吗?
Marc Bernstein1, Garrett Jebeles1, Tyler Kelly1
1Department of Orthopaedics, The University of Alabama at Birmingham, Birmingham, AL, USA.
Journal of perioperative practice
|August 6, 2025
概括
骨科手术的取消频繁,原因是患者的运输和不遵守等因素. 专注于患者参与和术前规划的干预措施可以减少当天的取消.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健管理 医疗保健管理
背景情况:
- 手术取消是美国医疗保健的一个持续挑战.
- 整形外科手术表现出特别高的取消率.
研究的目的:
- 调查手术取消背后的多方面的原因.
- 分析患者,外科医生和机构的贡献因素.
主要方法:
- 选择性整形外科手术的回顾性图表审查.
- 从学术门诊医院收集的数据 (2019年1月 - 2024年8月).
主要成果:
- 联合和手工程序的总数显示了最高的取消率.
- 取消的主要原因包括患者相关问题 (清除,运输,不遵守),外科医生因素,文书错误,医疗/麻醉问题和COVID-19.
- 患者不遵守手术前指令是一个重要因素.
结论:
- 确定了减少同一天骨科手术取消的机会.
- 强调了患者参与的重要性,并加强了手术前规划.
- 强调需要加强资源协调和提高行政效率.
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