对一家教学医院取消手术的审计。

IF 1.3 Q3 ANESTHESIOLOGY
Saudi Journal of Anaesthesia Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI:10.4103/sja.sja_485_23
Baraa Tayeb
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引用次数: 0

摘要

背景:手术取消对医疗系统和患者来说都是一个难题。它增加了我们系统的工作量和成本。对患者而言,这也会造成经济、心理和医疗方面的重大后果。我们的目标是自我识别手术取消的原因,以便有效管理手术室:我们在一家三级学术医疗中心对过去 66 个月的手术记录进行了回顾性病历审查。随后,我们进行了主题编码,将原因分为不同的类别:我们的记录显示有 5153 例取消手术,占预约手术总数的 7.3%。在这些取消的手术中,91%是在手术当天之前取消的,而当天取消的手术只占 9%。取消手术的患者中,女性占 58%,男性占 40%。无论是当天取消还是事先取消,手术顾问无法到场是取消手术的首要原因:结论:在我们的医疗环境中,手术取消的情况是独一无二的,并且随着时间的推移而变化。在过去 5 年中,手术顾问无法到岗是首要原因。在我们不断发展的医疗保健系统中,应努力找出并纠正根本原因,以改善患者的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An audit on surgery cancellation in a teaching hospital.

Background: Operative procedure cancellations are a dilemma for the healthcare system as well as for the patients. It causes increased workload and cost to our system. For patients, it has major financial, psychological as well as medical consequences. We aim to self-identify the causes of cancellations for efficient operation room management.

Methods: We performed a retrospective chart review in a tertiary academic medical center for the last 66 months of operative records. Subsequently, we performed thematic coding to categorize causes into distinct categories.

Results: Our records showed 5153 cancellations which represent (7.3%) of the total booked procedures. Of these cancellations 91% were ordered before the day of surgery, compared to 9% for same-day cancellations. Cancellations were 58% female patients and 40% male patients. The number one reason for cancellations for both same-day and prior cancellations is the unavailability of the surgical consultant.

Conclusion: Surgical procedure cancellations profile is unique among our settings and has changed over time. Over the last 5 years, the number one reason is unavailability of the surgical consultant. Efforts should be made to identify and correct the underlying reasons to improve patient outcomes in our evolving healthcare system.

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来源期刊
CiteScore
1.90
自引率
8.30%
发文量
141
审稿时长
36 weeks
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