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约旦一家主要教学转诊医院择期手术取消的原因。

Reasons for cancellation of elective operations at a major teaching referral hospital in Jordan.

机构信息

Department of Orthopaedic Surgery, Faculty of Medicine, King Abdullah University Hospital, Jordan University of Science and Technology, Irbid, Jordan.

出版信息

East Mediterr Health J. 2011 Aug;17(8):651-5.

Abstract

Cancellation of elective scheduled operations leads to an inefficient use of operating room time and a waste of resources. This prospective records-based study aimed to determine the rate of and reasons for cancellations of scheduled elective surgical operations in a major teaching referral hospital in Jordan. Over a period of 12 months, cancellation was recorded in 382 (3.6%) of 10 485 scheduled elective surgical operations. Day unit cancellations accounted for 27.5% and inpatient cancellations for 72.5%. Patient-related reasons, administrative and medical reasons accounted for 31.4%, 30.4% and 38.2% of all cancelled operations respectively. The most common patient-related reason for cancellation was patient non-attendance. The most common administrative reason for cancellations was unavailability of hospital admission beds. Although the cancellation rate was low in comparison with the reported rates worldwide, reductions might be achieved by adopting some important interventions, especially better bed utilization.

摘要

择期手术取消导致手术室时间利用效率低下和资源浪费。本前瞻性基于记录的研究旨在确定在约旦一家主要教学转诊医院中择期外科手术取消的发生率和原因。在 12 个月的时间内,10485 例择期外科手术中有 382 例(3.6%)被取消。日间病房取消占 27.5%,住院取消占 72.5%。患者相关原因、行政和医疗原因分别占所有取消手术的 31.4%、30.4%和 38.2%。取消手术的最常见患者相关原因是患者未到场。取消手术的最常见行政原因是医院入院床位不足。尽管与全球报告的比率相比,取消率较低,但通过采取一些重要的干预措施,特别是更好地利用床位,可能会降低取消率。

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