Morello D C, Colon G A, Fredricks S, Iverson R E, Singer R
Plast Reconstr Surg. 1997 May;99(6):1496-500.
The medical profession is besieged by concerns about cost containment. This in turn has focused attention on the use of ambulatory surgical facilities. However, the costs of hospital outpatient surgery programs usually prevent them from being competitive when compared with the costs of using office surgical facilities. To address the question of patient safety in office surgical facilities, the American Association for Accreditation of Ambulatory Surgery Facilities (AAAASF) sent a questionnaire to its accredited facilities. Two-hundred and forty-one (57.7 percent) of the 418 accredited facilities returned the anonymous questionnaires, a very high response rate. Or interest are the following findings: 400,675 operative procedures were reported during a 5-year period. Significant complications (hematoma, hypertensive episode, wound infection, sepsis, hypotension) were infrequent, occurring in 1 in every 213 cases. Return to the operating room within 24 hours and preventive hospitalization were less frequent. A death occurred in 1 in 57,000 cases (0.0017 percent). The overall risk is comparable in an accredited office (plastic surgical facility) and in a free-standing or hospital ambulatory surgical facility. This study documents an excellent safety record for plastic surgery done in accredited office surgical facilities by board-certified plastic surgeons.
医疗行业因对成本控制的担忧而受到困扰。这进而将注意力集中在了门诊手术设施的使用上。然而，与使用门诊手术设施的成本相比，医院门诊手术项目的成本通常使其缺乏竞争力。为了解决门诊手术设施中的患者安全问题，美国门诊手术设施认证协会（AAAASF）向其认证设施发送了一份调查问卷。418家认证设施中有241家（57.7%）返回了匿名问卷，回复率非常高。以下是一些有趣的发现：在5年期间共报告了400,675例手术。严重并发症（血肿、高血压发作、伤口感染、败血症、低血压）并不常见，每213例中出现1例。24小时内返回手术室和预防性住院的情况较少。每57,000例中有1例死亡（0.0017%）。在经认证的门诊（整形外科设施）以及独立或医院门诊手术设施中，总体风险相当。这项研究证明了由获得董事会认证的整形外科医生在经认证的门诊手术设施中进行整形手术时有着出色的安全记录。
