5520例日间手术的安全和质量评价

被引:43
作者
刘洋
马洪升
李志超
王小成
机构
[1] 四川大学华西医院日间服务中心
关键词
日间手术; 医疗安全; 医疗质量; 并发症; 再住院率; 满意度;
D O I
暂无
中图分类号
R197.323 [业务管理];
学科分类号
摘要
目的评价日间手术术后的安全和质量。方法回顾性分析2014年3~12月期间我院行日间手术患者的临床病例资料,分析日间手术术后相关安全和质量。评价指标:术后并发症、死亡率、非计划再手术、延迟出院、非计划再住院、患者满意度等指标。结果共收治5 520例日间手术患者,包括腹腔镜胆囊切除术、疝修补术、声带息肉切除术、乳腺包块微创切除术、大隐静脉曲张手术、胆道镜取石术、胃肠息肉切除术等。术后无失访、非计划再手术及死亡患者。日间手术后伤口疼痛率为39.95%(2 205/5 520),术后恶心呕吐发生率为0.51%(28/5 520),延迟出院率为0.62%(34/5 520),非计划再住院率为0.49%(27/5 520),患者满意度为98.99%(5 464/5 520)。结论对于本研究中上述手术类型,日间手术模式是一种较安全、有效的模式。
引用
收藏
页码:1477 / 1481
页数:5
相关论文
共 23 条
[1]  
医院患者安全目标手册.[M].梁铭会; 主编.科学技术文献出版社.2013,
[2]   Day Case Laparoscopic Nephrectomy With Vaginal Extraction: Initial Experience [J].
Baldini, Arnaud ;
Golfier, Francois ;
Mouloud, Khaled ;
Ansel, Marie-Helene Bruge ;
Navarro, Remi ;
Ruffion, Alain ;
Paparel, Philippe .
UROLOGY, 2014, 84 (06) :1528-1531
[3]  
Guidelines for Perioperative Care in Elective Colonic Surgery: Enhanced Recovery After Surgery (ERAS ? ) Society Recommendations.[J].U. O. Gustafsson;M. J. Scott;W. Schwenk;N. Demartines;D. Roulin;N. Francis;C. E. McNaught;J. MacFie;A. S. Liberman;M. Soop;A. Hill;R. H. Kennedy;D. N. Lobo;K. Fearon;O. Ljungqvist.World Journal of Surgery.2013, 2
[4]  
Guidelines for perioperative care in elective colonic surgery: Enhanced Recovery After Surgery (ERAS ? ) Society recommendations.[J].U.O. Gustafsson;M.J. Scott;W. Schwenk;N. Demartines;D. Roulin;N. Francis;C.E. McNaught;J. MacFie;A.S. Liberman;M. Soop;A. Hill;R.H. Kennedy;D.N. Lobo;K. Fearon;O. Ljungqvist.Clinical Nutrition.2012, 6
[5]   Comparison of paravertebral block versus fast-track general anesthesia via laryngeal mask airway in outpatient inguinal herniorrhaphy [J].
Akcaboy, Erkan Yavuz ;
Akcaboy, Zeynep Nur ;
Gogus, Nermin .
JOURNAL OF ANESTHESIA, 2010, 24 (05) :687-693
[6]   Updated Systematic Review and Meta-Analysis of Randomized Clinical Trials on the Role of Mechanical Bowel Preparation Before Colorectal Surgery [J].
Slim, Karem ;
Vicaut, Eric ;
Launay-Savary, Marie-Veronique ;
Contant, Caroline ;
Chipponi, Jacques .
ANNALS OF SURGERY, 2009, 249 (02) :203-209
[7]   Retrospective evaluation of unanticipated admissions and readmissions after same day surgery and associated costs [J].
Coley, KC ;
Williams, BA ;
DaPos, SV ;
Chen, C ;
Smith, RB .
JOURNAL OF CLINICAL ANESTHESIA, 2002, 14 (05) :349-353
[8]   Fast-track eligibility of geriatric patients undergoing short urologic surgery procedures [J].
Fredman, B ;
Sheffer, O ;
Zohar, E ;
Paruta, I ;
Richter, S ;
Jedeikin, R ;
White, PF .
ANESTHESIA AND ANALGESIA, 2002, 94 (03) :560-564
[9]   A POST-ANESTHETIC DISCHARGE SCORING SYSTEM FOR HOME READINESS AFTER AMBULATORY SURGERY [J].
CHUNG, F ;
CHAN, VWS ;
ONG, D .
JOURNAL OF CLINICAL ANESTHESIA, 1995, 7 (06) :500-506
[10]   基于快速康复外科理念的疼痛管理模式在日间腹腔镜胆囊切除术的应用 [J].
李志超 ;
王煜 ;
王小成 ;
刘洋 ;
马洪升 .
华西医学, 2015, 30 (05) :804-807