摘要
目的对非计划再次手术开展回顾性分析探讨其影响因素,提出防范改进措施,有效降低非计划再次手术发生率。方法对某院2021年1月1日-2021年12月31日957例同一次住院期间接受2次及以上手术患者进行逐份人工筛选出非计划再次手术97例,回顾性分析其影响因素、发生原因、高发科室。结果某院2021年1月1日-2021年12月31日非计划再次手术发生率为0.35%;发生率前3位的科室分别是骨肿瘤科(1.90%)、脊柱外科(0.89%)、肝胆外科(0.67%);导致非计划再次手术发生的主要原因是切口感染或愈合不佳(48.5%)、未达效果/手术再调整(25.8%)、术后其他症状(12.4%);与对照组手术相比,非计划再次手术患者在性别、年龄、是否急诊手术、手术级别、手术开台时间段有统计学差异。结论研究数据显示非计划再次手术发生具有明显专科特点,患者年龄、急诊手术、手术级别及开台时间是主要影响因素,切口感染或愈合不佳为首要发生原因,应针对性的采取有效措施加强防范。
Objectives This study aims to retrospectively analyze unplanned reoperations,discuss the influencing factors of unplanned reoperations and put forward the targeted improvement measures.Methods 957 patients who received 2 or more operations during the same hospitalization in a certain hospital from January 1,2021 to December 31,2021 were manually analyzed and judged case by case.97 unplanned reoperations were screened out and retrospectively analyzed.Statistical analysis was carried out on the influencing factors,occurrence causes,and high-incidence departments.Results The incidence of unplanned reoperation in a hospital from January 1,2021 to December 31,2021 was 0.35%.Departments with the top three incidence rates were departments of bone cancer(1.90%),spine surgery(0.89%),and hepatobiliary surgery(0.67%).The main reasons for unplanned reoperations were incision infection or poor healing(48.5%),failure to achieve results/surgical readjustment(25.8%),and other postoperative symptoms(12.4%).Compared with the control group,the unplanned reoperation patients had statistical differences in gender,age,emergency operation or not,operation level,and operation time period.Conclusions Study data showed that unplanned reoperations occur with distinct specialty characteristics.The main influencing factors were patient age,emergency surgery,surgical level,and operating time.Incision infection or poor healing was the leading cause.Effective measures should be taken to strengthen prevention.
作者
袁秀勇
卓耀响
林洁
霍苗苗
Yuan Xiuyong;Zhuo Yaoxiang;Lin Jie;Huo miaomiao(Fuzhou Second Hospital,Fuzhou 350007,Fujian Province,China;不详)
出处
《中国病案》
2023年第9期20-22,共3页
Chinese Medical Record
关键词
非计划再次手术
影响因素
医疗质量管控
Unplanned reoperation
Influencing factors
Medical quality control
