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监测紧急和急诊手术：意大利三级医院医疗管理部门的改进。

Monitoring emergency and urgent surgery: an improvement in a Healthcare Management Unit at a third-level hospital in Italy.

机构信息

Department of Health Sciences (Dissal), University of Genoa, Genoa, Italy.

U.O. Governo Clinico e Organizzazione Ospedaliera, Ospedale Policlinico San Martino-IRCCS, Genoa, Italy.

出版信息

J Prev Med Hyg. 2024 Aug 31;65(2):E232-E235. doi: 10.15167/2421-4248/jpmh2024.65.2.3161. eCollection 2024 Jun.

DOI:10.15167/2421-4248/jpmh2024.65.2.3161
PMID:39430993
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11487739/
Abstract

INTRODUCTION

At San Martino IRCCS Hospital in Genoa, Italy, emergency and urgent surgery is classified according to the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) classification, whereby cases are divided into two categories and colour-coded accordingly: - EMERGENCY - (Colour-code: RED) "Surgery to be performed within minutes"; - URGENCY - (colour-code: YELLOW) "Surgery to be performed within hours". In this context, it is essential that the emergency surgical team gets clear and complete information from the proposing surgeon, in order to complete the surgical list.

METHODS

Between 14 April 2023 and 23 July 2023, a new method of requesting urgent and emergency surgery by filling out an online form was tested.

RESULTS

A total of 406 online requests were made, resulting in 367 E/U surgeries. The greatest number of emergency operations concerned thoracic-abdominal surgery (45%), followed by urology (19%). The requests analysed classified 18% of cases as red and 71% as yellow. The remaining 11% contained compilation errors. Moreover, 11% of the interventions were not performed within the time limits defined according to the severity code.

CONCLUSIONS

By means of this new tool, San Martino IRCCS Hospital's Healthcare Management Unit can monitor requests for surgery in real time, thereby achieving greater efficiency and implementing corrective measures in the use of Operating Room resources.

摘要

简介

在意大利热那亚的圣马蒂诺 IRCCS 医院，根据英国国家患者结局和死亡调查（NCEPOD）分类，对急诊和紧急手术进行分类，将病例分为两类，并相应地进行颜色编码：- 紧急情况-（颜色代码：红色）“必须在几分钟内进行手术”；- 紧急情况-（颜色代码：黄色）“必须在几小时内进行手术”。在这种情况下，急诊手术团队从提出手术的外科医生那里获得清晰、完整的信息至关重要，以便完成手术清单。

方法

在 2023 年 4 月 14 日至 7 月 23 日期间，测试了一种通过填写在线表格请求紧急和紧急手术的新方法。

结果

共提出了 406 份在线请求，导致 367 例 E/U 手术。最多的紧急手术涉及胸腹部手术（45%），其次是泌尿科手术（19%）。分析的请求将 18%的病例分类为红色，71%为黄色。其余 11%包含编译错误。此外，11%的手术未在根据严重程度代码定义的时间内进行。

结论

通过这种新工具，圣马蒂诺 IRCCS 医院的医疗保健管理部门可以实时监控手术请求，从而提高效率，并在手术室资源的使用中实施纠正措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/527d/11487739/885ac35ec30f/jpmh-2024-02-e232-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/527d/11487739/f87b7fa8d838/jpmh-2024-02-e232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/527d/11487739/0234b81d09d0/jpmh-2024-02-e232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/527d/11487739/885ac35ec30f/jpmh-2024-02-e232-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/527d/11487739/f87b7fa8d838/jpmh-2024-02-e232-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/527d/11487739/0234b81d09d0/jpmh-2024-02-e232-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/527d/11487739/885ac35ec30f/jpmh-2024-02-e232-g003.jpg

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