在英格兰的可选等候名单上紧急住院:使用行政数据的观察性研究
Anthony P James1, William K Gray1, Mark J Cheetham1,2
1Getting It Right First Time Programme, NHS England, London, UK.
The British journal of surgery
|February 17, 2026
概括
选择性手术患者在等待治疗时经常经历紧急住院. 更及时的干预可以显著减少这种负担和相关的患者伤害.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 医疗保健服务研究 医疗服务研究
背景情况:
- 等待选择性手术的患者由于潜在疾病而面临医疗紧急情况的风险.
- 在可选等待期内量化紧急入院对于资源分配和患者护理至关重要.
研究的目的:
- 评估在可选等待名单上的患者中紧急住院的频率和变化.
- 确定在等待期内面临紧急入院风险较高的特定程序和专业.
主要方法:
- 对NHS英格兰等候名单最低数据集的分析与二次使用服务数据 (2022-2023) 相关联.
- 与指数条件和潜在可避免性相对应的紧急入院的识别和分类.
- 计算紧急入院率和选择程序的病床日比率.
主要成果:
- 在2023年,在2,093,789个可选等待时间 (338万天) 中,发生了69,322次紧急入院.
- 每52周,尿路支架 (0.71),ERCP (0.63) 和尿导管护理 (0.55) 程序的紧急住院率最高.
- 九项手术显示出比选择性卧床日更高的紧急情况,特别是尿道结石 (4.59比率).
结论:
- 在可选等待时间期间发生了大量的紧急入院,这给紧急服务带来了沉重的负担.
- 及时的最终治疗可以防止许多这些紧急住院.
- 风险变化需要优先考虑的策略,以减轻患者的伤害和优化护理途径.
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