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巴西一家大学医院手术取消原因分析。

The analysis for the causes of surgical cancellations in a Brazilian university hospital.

作者信息

Cihoda Josiane Harumi, Alves Jessika Rojo, Fernandes Luciano Augusto, de Souza Neto Edmundo Pereira

出版信息

Care Manag J. 2015;16(1):41-7. doi: 10.1891/1521-0987.16.1.41.

DOI:10.1891/1521-0987.16.1.41
PMID:25918776
Abstract

BACKGROUND

The aim of our study is to quantify the occurrence of suspension of scheduled surgeries in a Brazilian university hospital, trying to identify the causes of suspension of these operations and meet the medical specialties that most contributed to the cancellation.

METHODS

This study takes the form of an exploratory, descriptive, and quantitative enquiry carried out by analyzing the database from 2008 to 2011 of the operating theater.

RESULTS

Of the 29,518 scheduled surgeries, 16.1% were cancelled. The patient was the main reason, accounting for more than 40% of all suspensions. When calculating the rate of surgery suspended from a specialty, dividing the number of cancelled surgeries in a specialty by the number of scheduled surgeries in the same, we found that otolaryngology is the specialty with the highest rate of 21.3%.

CONCLUSIONS

One of the main reasons in our sample why surgeries were cancelled is nonappearance of the patient. Improving communication between patient and hospital facilitates the client program and also contributes to avoid cancellations.

摘要

背景

我们研究的目的是量化巴西一家大学医院中择期手术的取消发生率,试图确定这些手术取消的原因,并找出导致取消手术最多的医学专科。

方法

本研究采用探索性、描述性和定量调查的形式,通过分析2008年至2011年手术室的数据库来开展。

结果

在29518例择期手术中,16.1%被取消。患者是主要原因,占所有取消手术的40%以上。当计算某一专科的手术取消率(即某一专科取消手术的数量除以该专科择期手术的数量)时,我们发现耳鼻喉科的取消率最高,为21.3%。

结论

在我们的样本中,手术取消的主要原因之一是患者未到场。改善患者与医院之间的沟通有助于患者管理计划,也有助于避免手术取消。

相似文献

1
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。
Care Manag J. 2015;16(1):41-7. doi: 10.1891/1521-0987.16.1.41.
2
[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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[Why is surgery cancelled? causes, implications, and bibliographic antecedents].[手术为何被取消?原因、影响及文献先例]
Gac Med Mex. 2003 Nov-Dec;139(6):545-51.
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Cancellation of operations on the day of intended surgery at a major Australian referral hospital.澳大利亚一家大型转诊医院预定手术当天手术取消的情况。
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Retrospective analysis of suspended surgeries and influencing factors during an 8-year period.对8年期间暂停手术及影响因素的回顾性分析。
Cir Esp (Engl Ed). 2019 Apr;97(4):213-221. doi: 10.1016/j.ciresp.2019.01.006. Epub 2019 Mar 7.
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Why is surgery cancelled? A retrospective evaluation.手术为何被取消?一项回顾性评估。
S Afr J Surg. 2008 Aug;46(3):79-81.
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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。
Anesth Analg. 2013 Sep;117(3):711-716. doi: 10.1213/ANE.0b013e31829cc77a. Epub 2013 Aug 6.
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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。
Int J Clin Pract. 2005 Jun;59(6):716-20. doi: 10.1111/j.1742-1241.2004.00354.x.
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Causes of cancellations on the day of surgery at two major university hospitals.两所主要大学医院手术当天取消手术的原因。
Surg Innov. 2009 Jun;16(2):173-80. doi: 10.1177/1553350609335035. Epub 2009 May 21.
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Case cancellations on the day of surgery: an investigation in an Australian paediatric hospital.手术当天取消手术病例:澳大利亚一家儿科医院的调查
ANZ J Surg. 2009 Sep;79(9):636-40. doi: 10.1111/j.1445-2197.2009.05019.x.

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Int J Surg Open. 2020;26:55-63. doi: 10.1016/j.ijso.2020.08.006. Epub 2020 Aug 20.
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Last-minute cancellation of adult patients scheduled for cardiothoracic surgery in a large Dutch tertiary care centre.荷兰一家大型三级保健中心计划进行心胸外科手术的成年患者的最后时刻取消手术。
Eur J Cardiothorac Surg. 2021 Dec 27;61(1):225-232. doi: 10.1093/ejcts/ezab246.
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Root causes of elective surgical case cancellation in Ethiopia: a systematic review and meta-analysis.
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Use of a Smartphone Application for Spine Surgery Improves Patient Adherence with Preoperative Instructions and Decreases Last-minute Surgery Cancellations.使用智能手机应用程序进行脊柱手术可提高患者对术前指示的依从性,并减少手术最后一刻取消的情况。
Cureus. 2019 Mar 6;11(3):e4192. doi: 10.7759/cureus.4192.
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Reasons for Surgery Cancellation in a General Hospital: A 10-year Study.综合医院手术取消的原因:一项 10 年研究。
Int J Environ Res Public Health. 2018 Dec 20;16(1):7. doi: 10.3390/ijerph16010007.
6
Surgery cancellations after entering the operating room.进入手术室后手术取消。
JA Clin Rep. 2016;2(1):40. doi: 10.1186/s40981-016-0066-1. Epub 2016 Nov 25.