首页|某肿瘤专科医院159例手术并发症统计分析

某肿瘤专科医院159例手术并发症统计分析

Statistical analysis of 159 cases of surgical complications in a cancer hospital

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目的 探讨分析159例手术并发症发生的原因及对策,减少手术并发症的发生率.方法 按照《国家三级公立医院绩效考核操作手册(2023版)》手术并发症统计口径,对病案管理系统提取的2021年1月1日—2023年6月30日出院手术患者资料,采用Excel软件进行数据整理,采用SPSS统计软件进行统计学处理,P<0.05表示差异有统计学意义.结果 性别没有差异性;70~79岁年龄段手术并发症最多(57例);胸外科手术并发症最多(45例);手术并发症主要是三四级手术,占99.37%,主刀医师职称主要是主任医师和副主任医师,占94.34%;159例手术并发症中,排在第一位的是肺动脉血栓形成,占15.72%.结论 手术并发症的管理,需要信息化的支持,加强术前风险评估,完善手术分级管理制度,减少手术后并发症的发生例数,降低医疗风险.
Objective To investigate the causes and countermeasures of 159 cases of surgical complications and reduce the incidence of surgical complications.Methods According to the statistical caliber of surgical complications in"Operation Manual for Performance Appraisal of National Third-level Public Hospitals(2023 Edition)",the data of discharged surgical pa-tients from January 1,2021 to June 30,2023 were extracted from the medical record management system,and the data were sor-ted by EXCEL software and statistically processed by SPSS statistical software.The difference was statistically significant(P<0.05).Results There was no gender difference.There were 57 cases of surgical complications at the age of 70-79.The most complications of thoracic surgery were 45 cases;The main surgical complications were grade Ⅲ and Ⅳ operations,accounting for 99.37%,and the titles of the chief surgeon were chief physician and deputy chief physician,accounting for 94.34%.Among 159 cases of surgical complications,pulmonary artery thrombosis ranked first,accounting for 15.72%.Conclusion The man-agement of surgical complications needs the support of information technology,strengthening preoperative risk assessment,impro-ving the grading management system of surgery,reducing the number of postoperative complications and reducing medical risks.

CancerSurgical complicationsTertiary public hospitalsPerformance evaluation

徐旭东、张莉、周燕

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南通市肿瘤医院 江苏南通 226361

肿瘤 手术并发症 三级公立医院 绩效考核

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(3)
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