摘要
目的系统检索、介绍国内外择期手术取消的相关文献并加以归纳和分析,为我国医院的手术室管理提供参考。方法系统检索Pub Med、中国知网、维普、万方数据库,检索时限均截至2016年1月31日,对符合纳入标准相关文献的主要结果进行描述性分析。结果共纳入37篇文献。以回顾性研究、前瞻性研究为主,分别占62.16%、27.03%。不同的文献研究对象不同,择期手术取消率为0.15%-40.80%。以改进为着力点,可将择期手术取消原因分为：医院因素、医务人员因素和患者因素。结论择期手术取消是医疗质量的影响因素,鉴定可避免的区域,提出相应的综合措施,降低手术取消率。
Objective To provide reference for major hospital operating room management in China by summarizing the main results from articles involving cancellation of elective operations.Methods We systematically searched PubMed,China National Knowledge Infrastructure,VIP and Wanfang databases up to January 31,2016.The main results of eligible articles were described.Results A total of 37 articles were included,one of which was not included for further qualitative analysis due to low quality.The research type of included studies were retrospective studies and prospective studies accounting for 62.16%and 27.03%,respectively.The research object and rate of cancelled operation were varied among studies（0.15%- 40.80%）.The causes of cancellation were divided into hospital-related factors,staff-related factors and patient-related factors.Conclusions The cancellation of elective surgery is an important influence factor for the quality of healthcare.Identifying avoidable areas and proposing relative suggestions are aimed to decrease the rate of cancellation.
出处
《华西医学》
CAS
2016年第10期1710-1715,共6页
West China Medical Journal
基金
国家自然科学基金(71131006)~~
关键词
手术取消
择期手术
医疗资源
Surgical cancellation
Elective operation
Medical resource
