Jennings A G, Saeed K, Dolan S, Wise D I
Huddersfield Royal Infirmary.
Ann R Coll Surg Engl. 1999 Jan;81(1):65-8.
The British Orthopaedic Association have recommended that all hospitals should have daily, consultant-led, trauma lists. We have prospectively examined the introduction of a daily trauma list on the out-of-hours operating and the management of trauma in one district hospital. The data collected were compared with a corresponding 6-month period in 1996. It was found that the mean usage of the list was 2 h 38 min; 10% of lists were not used. There has been a significant reduction in the number of operations performed out-of-hours, and also a significant reduction in the amount of out-of-hours operating after midnight. More complex cases have also been operated on in normal working hours. The initial introduction of a daily trauma list has had a significant impact on the total amount of out-of-hours operating and has increased consultant supervision of the management of trauma, thereby increasing the quality of care for these patients.
英国骨科协会建议，所有医院都应设立由顾问医生主导的每日创伤手术清单。我们前瞻性地研究了在一家地区医院引入非工作时间创伤手术清单以及创伤管理的情况。将收集到的数据与1996年相应的6个月时间段进行了比较。结果发现，该清单的平均使用时长为2小时38分钟；10%的清单未被使用。非工作时间进行的手术数量显著减少，午夜后非工作时间的手术量也显著减少。更多复杂病例也在正常工作时间进行了手术。每日创伤手术清单的初步引入对非工作时间手术的总量产生了重大影响，并增加了顾问医生对创伤管理的监督，从而提高了这些患者的护理质量。
