Basson Marc D
Surgical Service (11S), John D Dingell VA Medical Center, 4646 John R. Street, Detroit, MI 48201-1932, USA.
World J Gastroenterol. 2007 Jul 21;13(27):3667-70. doi: 10.3748/wjg.v13.i27.3667.
Imprecise or delayed care can reflect many factors, including straightforward difficulties in physician judgment and false negative tests. However, the movement toward decreasing physician work hours also leads to delays in care caused by inadequate staffing or inadequate communication between staffing, which must be addressed if quality of care is to remain high. The demonstration of delays in the management of anastomotic leaks over weekends or in association with false positive radiologic studies exemplifies this challenge.
不精确或延迟的护理可能反映出许多因素，包括医生判断方面的直接困难以及检测结果为假阴性。然而，减少医生工作时长的趋势也会导致因人员配备不足或人员之间沟通不畅而造成护理延迟，如果要保持高质量护理，就必须解决这个问题。周末吻合口漏处理的延迟或与放射学检查假阳性相关的延迟就例证了这一挑战。
