消化手术中的黑云:神话还是现实?
Yara El Hawly1, Mathilde Aubert1, Emilie Bollon1
1Aix Marseille Univ, AP-HM, Department of Digestive Surgery, Timone University Hospital, 264, rue Saint-Pierre, 13005, Marseille, France.
Journal of visceral surgery
|December 12, 2025
概括
"黑云"现象,其中一些外科工作人员面临更重的工作负载,在消化器外科中进行了调查. 这项研究没有发现该部门存在"黑云"的证据,尽管周日发生的紧急情况较少.
科学领域:
- 外科手术 手术手术
- 外科手术工作人员管理管理.
- 医疗教育 医学教育
背景情况:
- 消化器外科的特点是工作量很高,包括苛刻的培训计划和夜班经常出现的紧急程序.
- "黑云"的概念描述了在值班期间经历过不成比例的繁重工作负载的员工,但其在外科领域的存在仍在争论中.
- 了解工作负载分布对于在高压外科环境中对住院人员的培训和整体部门效率至关重要.
研究的目的:
- 为了调查存在的存在.
- 分析在消化器外科的紧急手术过程中外科工作人员之间的工作负载分配.
- 为了确定消化器外科部门内的特定个人或群体是否经历了显著更重的工作负载,一种被称为"黑云"的现象.
主要方法:
- 在六个月的时间里进行了一项前性研究,包括在第三级推消化手术部门在全身和局部麻醉下进行的所有新出现的手术.
- 收集了由外科医生和住院医生进行的紧急手术数量的数据.
- 使用统计分析来比较不同级别的外科医生和培训计划的平均干预次数.
主要成果:
- 共有423次紧急消化手术由9名外科医生和8名住院医生进行.
- 在主治外科医生和高级住院医生 (2.3±1.5对 2.4±1.6,P=0.49) 之间的急诊手术的平均数量中没有发现显著差异.
- 与其他工作日 (P=0.03) 相比,周日 (0.9±0.9) 的紧急手术数量在白天显著减少 (P=0.03).
结论:
- 这项研究并没有确定一个.
- 没有证据表明一个.
- 周日观察到紧急程序的统计显著减少,这表明外科紧急情况的潜在每周模式.
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