三级公立医院非计划重返手术室再手术情况分析
Analysis of Unplanned Return to the Operating Room for Reoperation in Tertiary Public Hospitals
田玥 1郭华 1沈伟1
作者信息
- 1. 南京医科大学附属无锡人民医院医务部,江苏无锡 214023
- 折叠
摘要
目的 分析某三级公立医院非计划重返手术室再手术情况,旨在持续改进医疗质量,确保医疗安全.方法 通过科室主动上报与病案管理科病案首页手术筛查对某三级公立医院2022年一季度发生的31例非计划再次手术情况进行调查分析.结果 非计划再次手术发生率为0.45%,非计划再次手术原因主要是术后出血/血肿58.1%、吻合口瘘16.1%、术区感染6.5%,发生率较高的科室是胸外科、消化内科、胃肠外科、甲乳外科.结论 医院的非计划重返手术室再手术发生率应定期汇总分析通报全院科室非计划重返手术室再手术情况,加强院科两级管理,降低非计划重返手术室再手术发生例数、发生率、漏报率.
Abstract
Objective To analyze the situation of unplanned return to the operating room for reoperation in a tertiary public hospital,with the aim of continuously improving medical quality and ensuring medical safety.Methods 31 un-planned re-operations in a tertiary public hospital from the first quarter of 2022 were investigated and analyzed through department proactive reporting and surgical screening on the medical record page of the Medical Records Management Department.Results The incidence rate of unplanned reoperation was 0.45%.The main reasons for un-planned reoperation were postoperative bleeding/hematoma(58.1%),anastomotic leakage(16.1%),and surgical site in-fection(6.5%).The departments with higher incidence rates were thoracic surgery,gastroenterology,and gastrointesti-nal surgery,nail and breast surgery.Conclusion The incidence of unplanned return to the operating room for reopera-tion in the hospital should be regularly summarized and analyzed to report the situation of unplanned return to the op-erating room for reoperation in all departments of the hospital to strengthen management at both hospital and depart-ment levels,reduce the number,incidence and underreporting rate of unplanned return to the operating room for reop-eration.
关键词
非计划重返手术室再手术/三级公立医院/质量管理/医疗质量Key words
Unplanned return to the operating room for reoperation/Tertiary public hospital/Quality management/Medical quality引用本文复制引用
出版年
2024
NETL
NSTL
万方数据