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住院患者择期手术当日取消原因分析
引用本文:陈雯,张圣洁,张越伦,申乐.住院患者择期手术当日取消原因分析[J].基础医学与临床,2022(2):296-300.
作者姓名:陈雯  张圣洁  张越伦  申乐
作者单位:中国医学科学院北京协和医学院北京协和医院麻醉科;中国医学科学院北京协和医学院北京协和医院医学科学研究中心
基金项目:北京协和医院2020年中央高校教育教学改革专项资金(2020zlgc0105);中国医学科学院中央级公益性科研院所基本科研业务费临床与转化医学研究基金(2019XK320018)。
摘    要:目的 分析住院患者择期手术取消原因,并提出可能改进的措施,为提高医疗资源利用率和患者满意度提供参考.方法 通过医院相关电子信息系统(HIS),回顾性分析北京协和医院2019年1月1日至2020年7月31日住院患者中择期手术取消的病例资料,统计取消百分比率并分析取消原因.结果 在66090例择期手术住院患者中,343例(...

关 键 词:择期手术  取消手术  医疗安全  患者满意度  术前评估

Causes for cancellation of inpatients elective operations on the day of surgical operation
CHEN Wen,ZHANG Sheng-jie,ZHANG Yue-lun,SHEN Le.Causes for cancellation of inpatients elective operations on the day of surgical operation[J].Basic Medical Sciences and Clinics,2022(2):296-300.
Authors:CHEN Wen  ZHANG Sheng-jie  ZHANG Yue-lun  SHEN Le
Institution:(Department of Anesthesiology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China;Medical Sciences Research Center,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)
Abstract:Objective To explore the rate and causes for cancellation of inpatients elective operations on the day of surgical operation in order to develop strategy for optimization of resource utilization.Methods This study retrospectively investigated inpatient elective operation cases in Peking Union Medical College Hospital from January 12019 to July 312020 from the hospital electronic information system and analyzed the rate and causes for cancellation of elective operations on the day of surgery.Results Totally 343 cases(0.52%)cancelled operation on the day of surgery among 66090 inpatient elective operations.Reasons for cancellation involved medical(21.3%),surgical(39.7%),patients(29.2%)and anesthesia(9.9%)factors.Conclusions Most cancellation events can be prevented by improving specific measures like dedicated preoperative anesthesia assessment and the rate of operation cancellation is expected to be reduced significantly.
Keywords:elective operation  cancellation of surgeries  medical safety  patient compliance  preoperative evaluation
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