Jani Samir R, Shapiro Fred E, Gabriel Rodney A, Kordylewski Hubert, Dutton Richard P, Urman Richard D
Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.
Department of Anesthesiology, Perioperative and Pain Medicine, Harvard Medical School, Brigham and Women's Hospital, Boston, MA.
J Healthc Risk Manag. 2016 Apr;35(4):38-47. doi: 10.1002/jhrm.21223.
Ambulatory and office-based surgery is expanding rapidly. While growth continues, there are lingering patient safety concerns. To this end, the American Society of Anesthesiologists (ASA) created the Anesthesia Quality Institute (AQI), which collected patient and procedural characteristics on 23,341,130 anesthetics from all health care settings from 2010 to 2014. Of these, 179,618 office and 4,627,379 ambulatory cases were isolated and compared. Our findings show that although both settings are often grouped together, there are statistically significant differences in patient demographics, procedure types, and reported adverse events. Among these reports, inadequate postoperative pain control and nausea/vomiting are the most common issue. More serious events such as death, cardiac arrest, and vision loss occurred but were rare.
门诊手术和基于办公室的手术正在迅速扩展。尽管增长仍在持续，但患者安全问题依然存在。为此，美国麻醉医师协会（ASA）创建了麻醉质量研究所（AQI），该机构收集了2010年至2014年来自所有医疗环境的23341130例麻醉的患者和手术特征。其中，179618例办公室手术病例和4627379例门诊手术病例被分离出来并进行比较。我们的研究结果表明，尽管这两种手术环境通常被归为一类，但在患者人口统计学、手术类型和报告的不良事件方面存在统计学上的显著差异。在这些报告中，术后疼痛控制不足和恶心/呕吐是最常见的问题。死亡、心脏骤停和视力丧失等更严重的事件虽有发生，但很罕见。
