Matthews T W, Lampe H B, LeBlanc S
St. Joseph's Health Centre, University of Western Ontario, London, Ontario.
J Otolaryngol. 1996 Oct;25(5):290-5.
This study was conducted to evaluate the effectiveness of a same-day admission thyroidectomy programme.
Prospective patient surveys and a retrospective quality assurance study were conducted.
Management of the initial 58 patients having a thyroidectomy at St. Joseph's Hospital, London, Ontario, after May 1992 when a same-day admission thyroidectomy programme was initiated, was evaluated. Early in the process, staff evaluation of the programme was also surveyed.
The average length of stay for these patients was reduced from 4.5 to 3.2 days. No operative delays, cancellations, readmissions, or increased complications resulted from the new protocol. Also, patient and staff acceptance of the new programme was high.
Our success with this programme has encouraged us to apply these concepts to more complex surgical patients.
本研究旨在评估当日入院甲状腺切除术方案的有效性。
进行了前瞻性患者调查和回顾性质量保证研究。
对安大略省伦敦市圣约瑟夫医院自1992年5月启动当日入院甲状腺切除术方案后接受甲状腺切除术的最初58例患者的治疗情况进行评估。在此过程早期，还对工作人员对该方案的评估进行了调查。
这些患者的平均住院时间从4.5天缩短至3.2天。新方案未导致手术延迟、取消、再次入院或并发症增加。此外，患者和工作人员对新方案的接受度很高。
我们在该方案上的成功鼓励我们将这些理念应用于更复杂的手术患者。
