大学医院当天选择性手术取消的患病率,原因和工作人员的看法:一项混合研究
Eman M Nasr1, Mahi M Al Tehewy1, Tarek Y Youssef2
1Department of Healthcare Quality, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
The Journal of the Egyptian Public Health Association
|September 15, 2025
概括
在埃及,当天选择性手术的取消率为12.59%,主要是由于可以避免的医院相关问题,如OR时间和ICU床位不可用. 改进管理策略可以提高手术室的效率.
科学领域:
- 医疗保健管理的管理
- 手术手术手术手术手术手术手术手术
- 医院管理局 医院管理局
背景情况:
- 同一天的选择性手术取消破坏了医疗保健的效率,增加了成本,并对患者的结果和福祉产生了负面影响.
- 确定这些取消的流行和原因对于优化外科手术工作流程和资源配置至关重要.
- 这项研究侧重于埃及的El-Demerdash大学医院,以了解当地取消动态.
研究的目的:
- 确定El-Demerdash大学医院当天选择性手术取消的患病率.
- 确定主要原因,包括医院,患者和工作人员相关的因素.
- 探索手术室工作人员对这些取消原因的看法.
主要方法:
- 一种混合方法方法,将定量和定性数据收集结合起来.
- 定量:在21个手术室进行993次选择性手术的横截面研究.
- 定性:聚焦小组和对25名手术室工作人员 (护士,外科医生,麻醉师,秘书) 的深入采访.
主要成果:
- 总体取消率为12.59%. 这是一个很好的结果.
- 主要取消原因:手术室时间不可用 (24.03%),ICU床位不足 (21.71%),患者的病情变化 (14.73%),之前的手术时间长 (10.85%),设备问题 (7.75%).
- 手术室工作人员预计10-20%的取消,理由是ICU床位不可用和患者状况发生变化.
结论:
- 取消率低于许多发展中国家,但超过国际基准.
- 主要原因在很大程度上是可以避免的,并且与医院有关.
- 建议包括优化OR预订,加强部门间沟通,改善手术前患者准备,以及更好地分配资源以提高OR效率.
相关概念视频
01:22Healthcare Associated Infections II: Preventive Measures
3.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.5K
01:08Obedience
35.1K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
35.1K
01:08The Availability Heuristic
6.9K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
6.9K
01:29Issues And Trends In Healthcare Delivery System
6.1K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.1K
01:27Ethical Issues
2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.0K
01:21Barriers to Effective Communication II
4.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
4.5K