Howe T E, Varley I, Allen J E, Glossop A, McKechnie A
Department of Maxillofacial Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, Royal Hallamshire Hospital, Sheffield S10 2JF, United Kingdom.
Academic Unit of Oral & Maxillofacial Surgery, University of Sheffield, 19 Claremont Crescent, Sheffield S10 2TA, United Kingdom.
Br J Oral Maxillofac Surg. 2017 May;55(4):407-409. doi: 10.1016/j.bjoms.2016.10.025. Epub 2016 Nov 19.
Use of a universal vocabulary to assist with the scheduling of operations has been shown to considerably reduce delays and improve the use of theatre resources. Within the UK the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) has established a classification to assist with the triage of both emergency and non-emergency operating lists. We completed a survey to assess the uptake and understanding of this classification when scheduling maxillofacial operations. From a list of eight scheduling terms, respondents had to choose one each for 20 different clinical situations (that represented equally) immediate, urgent, expedited, and elective operations as defined by them. A total of 50 surveys were collated. Only 65% of answers selected represented NCPOD terms. 25% of answers represented a term higher and 18% a term lower, on the scale of intervention for the same category of situation. Current NCEPOD terms do not seem to be used universally and are poorly understood. Considerable variation in terminology exists when scheduling maxillofacial operations.
使用通用词汇来协助手术安排已被证明可大幅减少延误并提高手术室资源的利用率。在英国，全国患者结局与死亡保密调查（NCEPOD）已制定了一种分类方法，以协助对急诊和非急诊手术清单进行分类。我们完成了一项调查，以评估在安排颌面外科手术时对这种分类方法的采用情况和理解程度。从八个手术安排术语列表中，受访者必须为20种不同的临床情况（同样代表）各自选择一个，这些临床情况由他们定义为即刻、紧急、加急和择期手术。总共整理了50份调查问卷。所选答案中只有65%代表NCPOD术语。在同一类情况的干预级别上，25%的答案代表更高一级的术语，18%代表更低一级的术语。当前的NCEPOD术语似乎并未被普遍使用，且理解不佳。在安排颌面外科手术时，术语存在相当大的差异。
