Department of Anaesthesiology, Surgical Intensive Care Unit and Pain Management, Civil Hospital.
Department of Anaesthesiology, Civil Hospital, Dow University of Health Sciences, Karachi, Pakistan.
J Pak Med Assoc. 2024 Apr;74(4):736-740. doi: 10.47391/JPMA.8339.
To assess the practice of ordering unnecessary laboratory investigations by primary surgical teams.
The clinical audit was conducted from December 17, 2022, to January 15, 2023, at the Civil Hospital, Karachi, and comprised primary surgeons working in different surgical units who ordered laboratory investigations for patients as a part of preoperative assessment. Data was collected using a self-administered questionnaire. Data was analysed using SPSS 20.
Of the 280 surgeons approached, 249(89%) responded. The units covered were General surgery 96(38.5%), Gynaecology 74(29.7%), Neurosurgery 5(2.0%), Ear, Nose and Throat 19(7.6%), Plastic surgery 15(6.02%), Paediatric surgery 13(5.2%), Vascular surgery 8(3.21%), Oromaxilofacial 9(3.61%), Opthalmology 6(2.4%), and Orthopaedics 4(1.60%).As part of baseline investigations, 244(98%) surgeons ordered complete blood count, 173(69.5%) ordered urea and creatinine, 229(92%) ordered viral markers, 197(78.7%) ordered fasting and random blood glucose, and 178(71.5%) focussed on cardiac fitness.
A need was found to establish standard protocols for pre-surgery evaluation so that unnecessary investigations may be avoided.
评估初级外科团队开具不必要实验室检查的情况。
临床审计于 2023 年 1 月 15 日在卡拉奇民事医院进行，涵盖了在不同外科单位工作的初级外科医生，他们为接受术前评估的患者开具实验室检查。使用自我管理的问卷收集数据。使用 SPSS 20 进行数据分析。
在 280 名接受调查的外科医生中，有 249 名（89%）做出回应。涵盖的科室包括普通外科 96 名（38.5%）、妇科 74 名（29.7%）、神经外科 5 名（2.0%）、耳鼻喉科 19 名（7.6%）、整形外科 15 名（6.02%）、小儿外科 13 名（5.2%）、血管外科 8 名（3.21%）、口腔颌面外科 9 名（3.61%）、眼科 6 名（2.4%）和骨科 4 名（1.60%）。作为基线检查的一部分，244 名（98%）外科医生开具了全血细胞计数，173 名（69.5%）开具了尿素和肌酐，229 名（92%）开具了病毒标志物，197 名（78.7%）开具了空腹和随机血糖检查，178 名（71.5%）关注心脏功能。
需要制定手术前评估的标准方案，以避免不必要的检查。
