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[大学医院预定手术的取消:一项探索性研究]

[Cancellation of scheduled surgery at a university hospital: an exploratory study].

作者信息

Cavalcante J B, Pagliuca L M, Almeida P C

机构信息

DENF/UFC.

出版信息

Rev Lat Am Enfermagem. 2000 Aug;8(4):59-65. doi: 10.1590/s0104-11692000000400009.

DOI:10.1590/s0104-11692000000400009
PMID:11235240
Abstract

In spite of the extensive available literature on surgery patients' preparation and on the performance of surgeries, the focus given to the cancellation of the surgical act has been quite restricted. This study aims at identifying the number of scheduled and cancelled surgeries as well as the services that are mostly affected by such cancellations and was carried out in the surgery service of a big public university hospital located in the metropolitan area of Fortaleza, Ceará. The data were collected through surgery registration books, daily maps of surgery schedules and from the files of patients scheduled for surgery from September to December, 1996. The gathered data were analyzed quantitatively and introduced in charts. The results demonstrate that from the 1,145 surgeries programmed in the selected period, 379 (33%) had been cancelled. The mostly prejudiced services were General Surgery, Ophthalmology, Head and Neck Surgery, Trauma and Orthopedics, Otorhinolaryngology, Nephrology and Renal Transplant, and Proctology. Further investigation in this area in order to know the determinant causes of surgery cancellation as well as the participation of nursing in the study of this problem are necessary.

摘要

尽管有大量关于手术患者准备和手术操作的文献,但对手术取消这一行为的关注却十分有限。本研究旨在确定已安排和取消的手术数量,以及受此类取消影响最大的科室。该研究在位于塞阿拉州福塔雷萨市大都会区的一所大型公立大学医院的外科进行。数据通过手术登记簿、每日手术安排表以及1996年9月至12月计划手术患者的档案收集。收集到的数据进行了定量分析并制成图表。结果表明,在所选时间段内计划进行的1145例手术中,有379例(33%)被取消。受影响最大的科室是普通外科、眼科、头颈外科、创伤与骨科、耳鼻喉科、肾病与肾移植科以及直肠科。有必要对该领域进行进一步调查,以了解手术取消的决定性原因以及护理在该问题研究中的参与情况。

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[Cancellation of scheduled surgery at a university hospital: an exploratory study].[大学医院预定手术的取消:一项探索性研究]
Rev Lat Am Enfermagem. 2000 Aug;8(4):59-65. doi: 10.1590/s0104-11692000000400009.
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The analysis for the causes of surgical cancellations in a Brazilian university hospital.巴西一家大学医院手术取消原因分析。
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Case cancellation rates measured by surgical service differ whether based on the number of cases or the number of minutes cancelled.按手术服务计算的手术取消率,无论是基于取消的病例数还是取消的分钟数,都有所不同。
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Evaluation of the reasons for cancellations and delays of surgical procedures in a developing country.对一个发展中国家外科手术取消和延迟原因的评估。
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Risk factors and reasons for cancellation within 24 h of scheduled elective surgery in an academic medical centre: A cohort study.择期手术预定 24 小时内取消的风险因素和原因:一项队列研究。
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[Rate of surgery cancellation at a university hospital and reasons for patients' absence from the planned surgery].[某大学医院手术取消率及患者未按计划进行手术的原因]
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Reasons for cancellation of elective cardiac surgery at Prince Sultan Cardiac Centre, Saudi Arabia.沙特阿拉伯苏丹王子心脏中心择期心脏手术取消的原因。
J Saudi Heart Assoc. 2012 Jan;24(1):29-34. doi: 10.1016/j.jsha.2011.10.006. Epub 2011 Oct 24.
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Impact of emergency admissions on elective surgical workload.急诊入院对择期手术工作量的影响。
Ir J Med Sci. 2004 Jul-Sep;173(3):133-5. doi: 10.1007/BF03167926.