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目的探索住院患者择期手术取消的原因,提出相应的对策和干预措施,以期降低手术临时取消率。方法统计2016年7月1日-2016年10月31日某院住院患者临时取消择期手术例数,对相关原因进行分析。结果取消手术691例(5.74%),其中疾病原因321例(46.45%)占比最多,患者原因238例(34.44%),医方原因113例(16.35%)。取消率前三位科室为胸外科(12.68%)、口腔颅颌面科(8.62%)、口腔头颈肿瘤科(8.01%)。结论多数手术取消可以通过推进信息化建设,推进日间手术,加强术前评估,提高业务水平,绩效挂钩等措施加以避免,当日取消手术的发生率有很大的下降空间。
Objective To explore the reasons for the elective surgery cancellation in hospitalized patients and put forward corresponding countermeasures and interventions in order to reduce the temporary cancelation rate. Methods Statistics From July 1, 2016 to October 31, 2016, the hospitalized patients in a hospital temporarily canceled the number of elective surgery and analyzed the related reasons. Results There were 691 cases (5.74%) canceling operation, of which 321 cases (46.45%) were the cause of disease, 238 cases (34.44%) were causes of the disease and 113 cases (16.35%) were the medical reasons. The top three departments of cancelation rate were thoracic surgery (12.68%), oral cranio-maxillofacial surgery (8.62%) and oral head and neck oncology (8.01%). Conclusion Most of the cancelation of operation can be avoided by promoting the construction of information, promoting day surgery, strengthening preoperative evaluation, improving business level and performance. There is great room for canceling the operation on the day.