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门诊手术中的当日取消:大型学术三级转诊中心的回顾性研究

Same-Day Cancellation in Ambulatory Surgery: A Retrospective Review at a Large Academic Tertiary Referral Center.

作者信息

Smith Bradford B, Smith Mark M, Hyder Joseph A, Mauermann William J, Warner Mary E, Licatino Lauren K, Barbara David W

机构信息

Department of Anesthesiology and Perioperative Medicine (Drs B. B. Smith, M. M. Smith, Hyder, Mauermann, Warner, Licatino, and Barbara), and Robert E. and Patricia E. Kern Center for the Science of Health Care Delivery (Dr Hyder), Mayo Clinic College of Medicine, Rochester, Minnesota.

出版信息

J Ambul Care Manage. 2018 Apr/Jun;41(2):118-127. doi: 10.1097/JAC.0000000000000226.

Abstract

Although ambulatory surgery offers patients convenience and reduced costs, same-day cancellation of ambulatory surgery negatively affects patient experiences and operational efficiency. We conducted a retrospective analysis to determine the frequency and reasons for same-day cancellations in an outpatient surgery center at a large academic tertiary referral center. Of 41 389 ambulatory surgical procedures performed, same-day cancellations occurred at a rate of 0.5% and were usually unforeseeable in nature. Focusing on foreseeable cancellations offers opportunities for enhanced patient satisfaction, improved quality of care, and systems-based practice improvements to mitigate cancellations related to areas such as scheduling or patient noncompliance.

摘要

尽管门诊手术为患者提供了便利并降低了成本,但门诊手术的当日取消会对患者体验和运营效率产生负面影响。我们进行了一项回顾性分析,以确定一家大型学术三级转诊中心的门诊手术中心当日取消手术的频率和原因。在41389例门诊手术中,当日取消手术的发生率为0.5%,且通常不可预见。关注可预见的取消情况,可为提高患者满意度、改善护理质量以及基于系统的实践改进提供机会,以减少与排班或患者不依从等领域相关的取消情况。

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