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择期手术:爱尔兰住院手术与日间手术实践的比较。

Elective surgery: a comparison of in-patient versus day surgery practices in Ireland.

机构信息

Department of Surgery, Connolly Hospital Blanchardstown, Blanchardstown, Dublin 15, Ireland.

出版信息

Ir J Med Sci. 2013 Jun;182(2):267-75. doi: 10.1007/s11845-012-0876-8. Epub 2012 Dec 6.

DOI:10.1007/s11845-012-0876-8
PMID:23224911
Abstract

BACKGROUND

Currently, there is a paucity of research which has assessed practices at the point of care for day surgery patient.

AIM

To outline the patient journey from first referral for surgery and identify structures and processes which facilitate or constrain the provision of day surgery.

METHOD

A retrospective medical charts review of 200 consecutively presenting patients undergoing elective surgery in two Irish teaching hospitals. Data collection was completed from January 2009 to March 2009. This analysis spanned from first referral to the hospital until discharge and follow up.

RESULTS

Great variability was noted in practices between the two hospitals. While some of the differences in practice become barriers to increased rates of day surgery, others did not have an impact.

CONCLUSION

This study echoes findings of other similar studies in that management of patients undergoing elective surgery which varies significantly across Irish hospitals.

摘要

背景

目前,针对日间手术患者的即时护理实践,相关研究较为匮乏。

目的

概述患者从首次手术转诊到出院的整个就医流程,并确定促进或限制日间手术实施的结构和流程。

方法

对在爱尔兰两所教学医院接受择期手术的 200 例连续就诊患者的病历进行回顾性分析。数据收集于 2009 年 1 月至 2009 年 3 月完成。本分析涵盖了从首次转诊到出院和随访的整个过程。

结果

两所医院的实践存在很大差异。虽然一些实践差异成为增加日间手术比例的障碍,但其他差异没有影响。

结论

本研究与其他类似研究的结果相呼应,即爱尔兰各医院在管理择期手术患者方面存在显著差异。

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本文引用的文献

1
National survey of the provision of day surgery across public and private hospitals in Ireland.爱尔兰公立和私立医院日间手术服务提供情况的全国性调查。
Ir J Med Sci. 2010 Dec;179(4):493-9. doi: 10.1007/s11845-010-0562-7. Epub 2010 Aug 29.
2
The one-stop trial: does electronic referral and booking by the general practitioner (GPs) to outpatient day case surgery reduce waiting time and costs? A randomized controlled trial protocol.一站式试验:全科医生(GPs)进行电子转诊和预约日间门诊手术是否能减少等待时间和成本?一项随机对照试验方案。
BMC Surg. 2008 Aug 11;8:14. doi: 10.1186/1471-2482-8-14.
3
Guideline for the management of postoperative nausea and vomiting.
术后恶心呕吐管理指南
J Obstet Gynaecol Can. 2008 Jul;30(7):600-7, 608-16. doi: 10.1016/s1701-2163(16)32895-x.
4
Outcome of day-case inguinal hernia in elderly patients: how safe is it?
Hernia. 2007 Jun;11(3):253-6. doi: 10.1007/s10029-007-0220-9. Epub 2007 Apr 4.
5
Rising to the challenges of achieving day surgery targets.
Anaesthesia. 2006 Dec;61(12):1191-9. doi: 10.1111/j.1365-2044.2006.04875.x.
6
Managing variation in demand: lessons from the UK National Health Service.应对需求变化:来自英国国民医疗服务体系的经验教训。
J Healthc Manag. 2006 Sep-Oct;51(5):309-20; discussion 320-2.
7
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.
8
Laparoscopic skills training and assessment.腹腔镜技能培训与评估。
Br J Surg. 2004 Dec;91(12):1549-58. doi: 10.1002/bjs.4816.
9
'One-stop' inguinal hernia surgery--day-case referral, diagnosis and treatment.“一站式”腹股沟疝手术——日间病例转诊、诊断与治疗
Ann R Coll Surg Engl. 2004 Nov;86(6):425-7. doi: 10.1308/147870804506.
10
Consensus guidelines for managing postoperative nausea and vomiting.术后恶心呕吐管理的共识指南。
Anesth Analg. 2003 Jul;97(1):62-71, table of contents. doi: 10.1213/01.ane.0000068580.00245.95.