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find Keyword "手术取消" 3 results
  • 两种床位预约模式对眼科日间手术患者到达医院后取消手术的影响分析

    目的 探讨病房护士轮班的床位预约模式和专人专岗床位预约模式对眼科日间手术患者到达医院后取消手术的影响因素,以提高日间手术患者的入住率。 方法 将2014年5月-8月实施病房护士轮班的床位预约模式预约了日间手术,到达医院后取消了手术的患者作为对照组;2015年5月-8月实施专人专岗床位预约模式预约了日间手术,到达医院后取消了手术的患者作为观察组。对两组患者临床资料进行统计分析。 结果 2014年5月-8月实施病房护士轮班的床位预约模式预约日间手术患者2 581例,手术1 679例,取消手术902例,其中到达医院后取消手术(对照组)患者297例,占预约总数的11.51%。2015年5月-8月实施专人专岗床位预约模式预约日间手术患者1 813例,手术1 705例,取消手术108例,其中到达医院后取消手术(观察组)58例,占预约总数的3.20%。两组患者到达医院后取消手术占预约总数的百分比比较,差异有统计学意义(P<0.05)。眼科日间床位预约患者到达医院后取消手术的主要原因是血糖未控制在正常范围,其他原因为术前未按医嘱使用抗生素眼药、术前检查不完善、未按医嘱禁食禁饮。观察组患者因血糖未控制在正常范围、术前未按照医嘱使用抗生素眼药、术前检查不完善、未按医嘱禁食禁饮而取消手术的比例与对照组比较差异有统计学意义(P<0.05)。眼科日间手术患者到达医院后取消手术的病种主要集中在白内障和眼底病,观察组患者取消手术的病种与对照组比较均有差异(P<0.05)。 结论 专人专岗床位预约模式优于病房护士轮班床位预约模式。设置专人专岗位完成床位预约,能有效减少手术的取消,提高病床使用率,为患者提供同质化的院前指导,提高患者及家属完成术前准备的依从性,改善患者住院体验。

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  • The Cancellation of Elective Operations: a Systematic Literature Review

    ObjectiveTo provide reference for major hospital operating room management in China by summarizing the main results from articles involving cancellation of elective operations. MethodsWe systematically searched PubMed, China National Knowledge Infrastructure, VIP and Wanfang databases up to January 31, 2016. The main results of eligible articles were described. ResultsA total of 37 articles were included, one of which was not included for further qualitative analysis due to low quality. The research type of included studies were retrospective studies and prospective studies accounting for 62.16% and 27.03%, respectively. The research object and rate of cancelled operation were varied among studies (0.15%-40.80%). The causes of cancellation were divided into hospital-related factors, staff-related factors and patient-related factors. ConclusionsThe cancellation of elective surgery is an important influence factor for the quality of healthcare. Identifying avoidable areas and proposing relative suggestions are aimed to decrease the rate of cancellation.

    Release date:2016-10-28 02:02 Export PDF Favorites Scan
  • Analysis of reasons for cancellation of ambulatory surgery based on doctor-patient assistants

    Objective To investigate the cancellation of ambulatory surgeries based on doctor-patient assistants, analyze the reasons, and propose corresponding strategies in order to improve the utilization of medical resources and the operational efficiency of hospitals. Methods A retrospective analysis was conducted on patient data between May 2021 and October 2023, who successfully scheduled surgery at the Day Surgery Center of the First Affiliated Hospital of the Air Force Military Medical University and cancelled the surgery due to various reasons. The reasons for the cancellation were also analyzed. Results A total of 5691 surgeries were scheduled, and 27 surgeries were cancelled before admission, with a cancellation rate of 0.47%. A total of 5607 surgeries were completed, and 57 surgeries were cancelled on the day of surgery, with a cancellation rate of 1.01%. Among all departments, patients in Gastrointestinal Surgery Department and Urology Department had the highest cancellation rates before admission (1.61% and 0.68%, respectively), and the highest cancellation rates on the day of surgery (1.43% and 1.38%, respectively). The most common reason for cancellation before admission was surgical doctor business travel/other arrangements (22.22%). The most common reason for cancellation on the day of surgery was preoperative respiratory infections in patients (14.04%). ConclusionsThe establishment of doctor-patient assistant positions can to some extent help reduce the cancellation of ambulatory surgery before admission and on the day of surgery. For patients undergoing ambulatory surgery, preoperative education and evaluation should be strengthened, and management processes and systems should be improved, in order to reduce the cancellation rate of ambulatory surgery and improve hospital operational efficiency.

    Release date:2024-02-29 12:03 Export PDF Favorites Scan
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