地区综合医院外科病房的工作量。
The workload of a surgical unit in a district general hospital.
作者信息
Cobb R A, Baigrie R J, Reece-Smith H, Faber R G
机构信息
Battle Hospital, Reading.
出版信息
Ann R Coll Surg Engl. 1989 Sep;71(5):299-302.
A 3-month prospective study of the workload of a surgical unit in a district general hospital was performed to identify the relationship between outpatient work, admissions to hospital, and scheduled operating lists. We have shown that under 60% of all new cases seen in the outpatient clinic had admissions arranged after initial consultation. Over two-thirds of inpatient admissions were for emergencies or urgent cases, and thus not able to be controlled by the surgical team. One-third of emergency admissions had an operation within 24 h of admission. One third of the total number of cases on scheduled lists were emergency or urgent cases (taking up approximately 50% of the operating time). Of all admissions, 32% were as day cases. Of all routine operations, 35% were performed at a community hospital taking only 18% of all our admissions.
对一家地区综合医院外科病房的工作量进行了为期3个月的前瞻性研究，以确定门诊工作、住院人数和预定手术安排之间的关系。我们发现，在门诊诊所就诊的所有新病例中，不到60%的病例在初次会诊后安排了住院。超过三分之二的住院患者是急诊或紧急病例，因此外科团队无法控制。三分之一的急诊患者在入院后24小时内接受了手术。预定手术清单上三分之一的病例是急诊或紧急病例（占用了大约50%的手术时间）。在所有住院患者中，32%为日间手术患者。在所有常规手术中，35%在社区医院进行，仅占我们所有住院患者的18%。
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