作　　者： (）;

机构地区： 珠海市人民医院

出　　处： 《现代医院管理》 2020年第1期32-34,共3页

摘　　要： 目的加强非计划再次手术监控、根因分析、多方整改,从而有效降低非计划再次手术发生率。方法选取2017—2018年非计划再次手术数据,对比不同筛查方法下非计划再次手术的发生情况;同时对非计划再次手术发生原因进行统计分析。结果2018年非计划再次手术发生率0.383%,低于2017年的0.929%;2018年非计划再次手术发生原因占比为:术后出血45.45%,切口感染或愈合不佳29.55%,术后未达预期效果或病灶残留13.64%,病理结果提示恶性补充手术5.68%,其他原因3.41%,手术失败更换手术方式2.27%。结论采用多种方法联合筛查非计划再次手术,同时剖析发生原因、督促改进,从而达到有效较低非计划再次手术发生率、提高医疗质量的目的。 Objective:To strengthen the monitoring of unscheduled reoperation,root cause analysis and multiple rectification so as to effectively reduce the incidence of unscheduled reoperation.Method:The data of unscheduled reoperations in 2017-2018 were selected to compare the incidence of unscheduled reoperations with different screening methods.At the same time,the causes of unscheduled reoperation were analyzed statistically.Result:The incidence of unscheduled reoperations was 0.383%in 2018,lower than 0.929%in 2017.In 2018,the reasons for unscheduled reoperation accounted for 45.45%of postoperative bleeding,29.55%of incision infection or poor healing,13.64%of postoperative effect or lesion residue,5.68%of pathological results suggested malignant supplementary surgery,3.41%of other reasons,and 2.27%of surgical methods were failed.Conclusion:Multiple methods were used to screen the unscheduled reoperation,analyze the causes and urge the improvement so as to effectively lower the incidence of unscheduled reoperation and improve medical quality.

关 键 词： 非计划再次手术 发生率 筛查方法 根因分析

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