Investigation and Analysis of 207 Cases of Unplanned Reoperation
Objectives This study aims to analyze the basic situation of unplanned reoperation in a hospital and explore targeted management measures to promote continuous improvement of medical quality.Methods The case information of unplanned reoperation in a tertiary general hospital from January 1,2020 to December 31,2022 was retrospectively analyzed.The unplanned reoperation was described and compared from the aspects of influencing factors,graded authorization,causes,and interval time of reoperation.Results From January 1,2020 to December 31,2022,207 cases of unplanned reoperation occurred,with a total incidence of 0.24％,showing a downward trend(x2=13.289,P=0.001).The unplanned reoperation rate of grade 4 surgery(0.61％)was higher than that of grade 1-3 surgery(0.08％)(x2=201.810,P＜0.001).There were 2 cases of skip-grade surgery in emergency admission surgery.The main reason for unplanned reoperation was postoperative hemorrhage or hematoma(50.24％).Unplanned reoperation mainly occurred within 0 to 7 days after surgery(70.5％).Conclusions The management of grade 4 surgery and emergency surgery should be strengthened,and the scheduling system should be optimized to further reduce the unplanned reoperation rate.
Unplanned reoperationPerioperative periodQuality of medical care
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