Solovei G, Esso C, Alame A, Teissier J M, Medina J Y, Favriel J M, Al Hareiss H, Kondo A A
Service de Chirurgie A; Hôpital Manchester, Charleville-Mézières.
J Chir (Paris). 1988 Jan;125(1):30-6.
Quality of care has been evaluated in this study by the criterion of mortality in a Digestive and Vascular Surgery unit. The analysis over a one-year period concerned 34 dead patients among 1298 entered and 1,108 operated patients who underwent 1,248 operations. The causes of death have been studied in the 3 groups: non operated (5 patients), digestive (20 patients), vascular (9 patients), with distinction of emergency surgery. Therapeutic habits have been systematically reexamined and considered either adapted or to be modified. Punctual conclusions of such a study are interesting for the medico-surgical team but also for the nursing team. Transparency of mortality for a whole team is a factor of progress by the periodical reappraisal of the therapeutic habits based upon accurate data, and by the better collaboration in the team.
本研究通过消化与血管外科病房的死亡率标准对医疗质量进行了评估。为期一年的分析涉及1298名入院患者中的34名死亡患者，以及1108名接受了1248台手术的手术患者。对3组患者的死亡原因进行了研究：非手术组（5例患者）、消化组（20例患者）、血管组（9例患者），并区分了急诊手术情况。对治疗习惯进行了系统复查，并认为其要么是合适的，要么需要修改。这样一项研究的即时结论不仅对外科医疗团队有意义，对护理团队也有意义。整个团队死亡率的透明度是一个进步因素，这体现在基于准确数据定期重新评估治疗习惯，以及团队中更好的协作上。
