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新加坡10年急症手术:演变,结果和未来的挑战

Sachin Mathur¹, Eliza I-Lin Sin², Chris Hang Liang Keh³

¹Department of General Surgery, Singapore General Hospital, Singapore, Singapore. sachin.mathur@singhealth.com.sg.

World journal of emergency surgery : WJES

|March 14, 2026

概括

急性护理外科 (ACS) 在新加坡改善了急诊和创伤护理,减少了干预时间和住院时间. 维持这些好处需要国家认证和外科工作人员的结构化培训.

科学领域:

手术科学手术科学
紧急医疗紧急医疗
医疗保健服务研究医疗服务研究

背景情况:

急性护理外科 (ACS) 解决了紧急整体外科 (EGS) 的挑战.
关键问题包括分专业化,分散的护理和延迟的手术干预.
ACS提供了一种结构化的方法来改善EGS的交付.

研究的目的:

审查急性护理手术 (ACS) 的全球演变.
分析新加坡十多年来在ACS实施方面的经验.
确定ACS中的结果和持续的挑战.

主要方法:

全球ACS发展的叙述性回顾.
自2014年以来对新加坡公立医院的ACS模型的检查.
分析实施的创新及其影响.

主要成果:

新加坡采用了各种ACS模型,提高了护理及时性,效率和外科培训.
像紧急腹腔切除术途径这样的创新减少了延迟和改善了协调.
结果显示,干预时间减少了30-40%,住院时间缩短了1-2天,患者的治疗结果有所改善.
在创伤工作人员,注册员培训,剧院准入和国家认证方面仍然存在挑战.

结论:

急性护理外科已经明显改善了新加坡的急诊和创伤手术.
国家认证,劳动力规划和结构化培训对于持续的ACS成功至关重要.
整合ACS作为核心手术系统组件至关重要.

关键词:

急性护理手术是急性护理手术.紧急的一般外科手术.卫生政策卫生政策新加坡新加坡新加坡新加坡手术系统手术系统创伤是一个创伤.

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