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我们真的解决了选择性手术积压吗?

Daniel Jones1, Maulik Gandhi2

  • 1Trauma and Orthopaedics, Bradford Royal Infirmary, Bradford, GBR.

Cureus
|March 17, 2026
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概括
此摘要是机器生成的。

编码错误显著影响选择性手术等待时间. 错误编码为选择性的人工缩短等待列表的急性病例,突出了改善骨科手术数据准确性的需要.

关键词:
准确的数据准确的数据.积压时间 积压时间 积压时间编码 编码 编码 编码选择性外科手术是一种选择性手术.等待时间等待时间

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科学领域:

  • 健康科学 卫生科学 卫生科学
  • 医疗信息学 医疗信息学
  • 外科手术的专业领域.

背景情况:

  • 英国面临着骨科的大量等待名单,越来越多的患者在等待选择性手术.
  • 急性骨科病例可能被错误地编码为选择性,特别是在转诊激增期间,影响等待时间数据.
  • 准确的编码对于理解和有效管理外科等候名单至关重要.

研究的目的:

  • 量化编码错误对选择性骨科手术等待时间的影响.
  • 调查电子预订代码与实际患者病例笔记之间的差异.
  • 为了确定错误编码的急性病例对报告的可选等待时间的影响程度.

主要方法:

  • 在2025年1月1日至2025年3月31日期间,对381名接受选择性骨科手术的患者进行了回顾性分析.
  • 电子预订代码与患者病例笔记的比较,以验证编码的准确性 (可选与急性).
  • 统计分析,包括曼-惠特尼U测试,以评估编码差异对等待时间的意义.

主要成果:

  • 381名患者中44名 (11.55%) 被编码为选择性患者实际上是急性病例.
  • 错误编码的选择性病例的平均等待时间为10.86天,而真正的选择性病例为247.24天.
  • 错误的编码人工减少了平均等待时间 27.14 天 (11.01%),这是一个统计学上显著的发现 (p = 0.012).

结论:

  • 不准确的电子编码显著和人为地减少了报告的骨科手术等待时间.
  • 电子患者记录 (EPR) 系统中的人类和软件错误可能导致错误编码.
  • 建议包括审查EPR软件,加强员工培训,优化冷站运行,以提高编码准确性和患者护理分离.