骨科门诊的错向患者：一项四年回顾性数据分析（23435例患者）
Misdirected Patients in Orthopedic Outpatient Clinics: A Retrospective Four Years Data Analysis (23435 Patients).
作者信息
Azfar Syed Muhammad, Murad Manal Abdulaziz, Azim Syeda, Baig Mukhtiar
机构信息
Orthopedics, Liaquat College of Medicine and Dentistry, Karachi, PAK.
Family Medicine, King Abdulaziz University, Jeddah, SAU.
出版信息
Cureus. 2019 Dec 31;11(12):e6526. doi: 10.7759/cureus.6526.
Objective To identify the frequency of misdirected patients in orthopedic outpatient clinics. Methodology This was a retrospective study done in a private hospital of Jeddah. Computer records of patients attending the orthopedic outpatient department (OPD) during the period of 2013-2017 were collected. Data were analysed using IBM SPSS version 23 (IBM Corp, Armonk, NY). Descriptive statistics are presented as frequency and percentages. Results Out of the 23435 cases, 6944 (29.6%) cases should not be seen primarily in orthopedic clinic, 13638 (58.2%) were the cases that may or may not be seen primarily in orthopedic clinic, whereas, there were 2853 (12.2%) who must be seen mainly by orthopedic specialist. Conclusion This study revealed that a huge number of patients who visited orthopedic OPD does not need primarily orthopedic consultation. So, it is recommended to direct the patients to the right specialist in outpatient clinics to avoid the unnecessary burden on orthopedic clinics. The triage of referrals or walk-in patients may help to prevent this issue.
目的 确定骨科门诊中患者就诊科室有误的频率。方法 这是一项在吉达一家私立医院开展的回顾性研究。收集了2013年至2017年期间在骨科门诊就诊患者的计算机记录。使用IBM SPSS 23版软件（IBM公司，纽约州阿蒙克）进行数据分析。描述性统计数据以频率和百分比表示。结果 在23435例病例中，6944例（29.6%）患者不应首先在骨科门诊就诊，13638例（58.2%）患者可能在骨科门诊就诊，也可能不在骨科门诊就诊，而有2853例（12.2%）患者必须主要由骨科专家诊治。结论 本研究表明，大量前往骨科门诊就诊的患者并不需要首先进行骨科会诊。因此，建议在门诊将患者引导至合适的专科医生处，以避免给骨科门诊带来不必要的负担。对转诊患者或自行前来就诊患者进行分诊可能有助于预防此问题。
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