Jones A R, Sandison A J, Owen W J
Department of Surgery, UMDS, Guy's Hospital, London, UK.
Int J Clin Pract. 1997 Jul-Aug;51(5):294-5.
Pre-clerking of all patients undergoing elective general surgical operations was introduced at our hospital in an attempt to reduce an unacceptably high operation cancellation rate. A prospective audit has been performed on the effect of this policy on the cancellation rate. Before the introduction of pre-clerking there was a marked seasonal variation in the number of patients who failed to attend for surgery, which could be explained by absence on holiday. This seasonal variation disappeared after the start of pre-clerking clinics, but there has been no reduction in the number of cancellations for medical reasons.
为降低高得令人无法接受的手术取消率，我院对所有接受择期普通外科手术的患者进行了术前问诊。针对该政策对取消率的影响进行了一项前瞻性审计。在引入术前问诊之前，未能前来接受手术的患者数量存在明显的季节性变化，这可以用假期缺勤来解释。术前问诊门诊开始后，这种季节性变化消失了，但因医疗原因取消手术的数量并未减少。
