优化手术前评估时间以减少手术取消:一个质量改进项目
Muhammad Zaeem1, Rabia Khalid1, Talha Ahmed2
1Anesthesia and Critical Care, District Headquarters Hospital, Faisalabad, PAK.
Cureus
|November 11, 2025
概括
在选择性手术前至少24小时安排手术前评估,大大减少了取消手术的情况. 这项质量改善举措提高了手术室的效率,减少了浪费的入床时间,特别是在资源有限的环境中.
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
- 提高质量 提高质量
背景情况:
- 选择性手术取消是医疗保健资源的重大消耗,导致成本增加和患者等待列表的延长.
- 取消的原因往往是手术前后期的评估,导致患者优化不足或调查不完整.
- 术前评估诊所对于及时医疗优化和确保在手术前完成所有必要测试至关重要.
研究的目的:
- 评估早期手术前评估对减少选择性手术取消的影响.
- 评估转移评估时间对操作剧院效率和资源利用的影响.
主要方法:
- 进行了一项质量改善项目,比较了巴基斯坦一家公立医院的两轮手术前评估.
- 循环1涉及在手术前1小时以上进行的评估;循环2涉及在手术前24小时以上进行的评估.
- 收集了选择性外科病例 (骨科,整形外科,耳鼻科) 的数据,重点关注由于优化不充分或工作不完整而导致的推迟率,以及浪费的床上时间.
主要成果:
- 由于优化不足或实验室工作不完整而导致的延期率从6.1%降至3.0% (p = 0.02),相对风险降低了50%.
- 每100名患者的失眠日数显著减少,从20.1日降至6.8日.
- 转向较早的评估表明,手术安排效率在统计学上有显著的改善.
结论:
- 在选择性手术前至少24小时进行手术前评估,有效地将可避免的取消率降低了一半.
- 这一干预措施使浪费的病床日数大幅减少,并提高了整体的手术室效率.
- 这些发现突出了一个低成本,高影响力的策略,用于提高医疗保健系统的性能,特别是在资源有限的环境中.
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