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获得手术当天的书面手术同意与第一次病例延迟有关

Victoria Yin¹, Tsehay B Abebe², Li Ding³

¹Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.

Journal of perioperative practice

|October 16, 2025

概括

在手术当天签署外科同意书显著增加了手术室 (OT) 的延误. 在手术当天签署同意的患者经历OT延迟的可能性是手术当天的3.2倍,这凸显了改善手术前效率的必要性.

科学领域:

麻醉学麻醉学
手术患者护理手术患者护理
医疗保健管理的管理

背景情况:

手术室 (OT) 启动时间对于手术效率至关重要.
手术前的过程,包括知情同意,可以影响手术安排.
手术当天的患者从家中抵达时,会面临独特的后勤挑战.

研究的目的:

确定手术同意签署时间和首次启动病例延迟之间的关联.
确定导致同一天手术患者手术室延迟的因素.

主要方法:

一项单中心研究分析了2021年6月28天内连续从家出发的首次入院患者.
首例延迟被定义为手术室的入室时间超过计划开始时间的5分钟.
统计分析,包括赔率比率 (OR) 和置信区间 (CI),用于评估关联.

主要成果:

在289名符合条件的患者中,81%的人在手术前的手术日签署了手术同意书.
在手术当天签署同意书增加了OT延迟的可能性3.2倍 (OR3.2,95%CI:1.2,8.5,p=0.02).
非英语为主语言的患者面临3.8倍的病例延迟风险 (OR3.8,95%CI:2.0,7.4,p<0.0001).

结论:

在同一天签署来自家的患者的手术同意书,与手术室开始时间的显著延迟有关.
应该尽量减少在手术前区域获得同意,以提高手术前的效率.
解决同意时间和语言障碍可以改善外科手术安排和患者流动.

关键词:

伦理学伦理学伦理学第一个延迟的情况是延迟.经过知情同意的同意.手术室的延迟时间.在手术前的区域.手术伦理学的伦理学

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