摘要
目的通过对非计划再次手术发生情况及原因进行统计、分析,以期采取针对性措施,有效预防医疗事故与医疗纠纷,保障手术安全。方法对我院2018年全年发生的107例非计划再次手术进行回顾性研究。对患者的性别、年龄、科室分布等情况进行描述,统计非计划再次手术发生的直接原因,运用鱼骨图对其间接原因进行梳理。结果 60岁~80岁年龄段患者非计划再次手术占比最高,为45.79%,41岁~60岁年龄段次之,占39.25%。出血、血肿是实施非计划再次手术最主要的直接原因,其次是肠梗阻、感染等。而引起非计划再次手术的间接原因有很多,如手术医师方面、日常管理方面、患者自身情况等。结论预防和减少非计划再次手术的发生,需要加强重点科室的闭环管理,关注重点人群,同时需要多部门配合,多方位采取措施,以保障患者安全。
Objective To analyze the incidence and causes of unplanned reoperation(UR), so as to take effective measures to avoid medical accidents and medical disputes and ensure the safety of surgeries. Methods The clinical data of 107 UR cases in our hospital in 2018 were retrospectively analyzed. The sex, age, and department distribution of these patients were recorded and the direct causes of UR were described. The indirect causes were sorted out by the Fishbone diagram. Results Patients aged 60-80 years had the highest proportion(45.79%) of UR, followed by the 41-60 year group(39.25%). Hemorrhage and hematoma were the main direct causes of UR, followed by intestinal obstruction and infections. There were many indirect causes of UR, such as surgeon’s skill,daily management, and patients’ own conditions. Conclusion UR may be avoided by closed-loop management of key departments,identification of priority populations, multi-disciplinary cooperation, and implementation of combined measures, so as to ensure patient safety.
作者
宋静
徐克平
刘卫东
牛晓兵
荣超
Song Jing;Xu Keping;Liu Weidong;Niu Xiaobing;Rong Chao(Huai'an First Hospital Affiliated to Nanjing Medical University, Huai'an 223300, Jiangsu Province, China;School of Management, Zhejiang University of Traditional Chinese Medicine, Hangzhou 310053, Zhejiang Province, China)
出处
《中国医疗管理科学》
2019年第3期32-35,共4页
Chinese Journal Of Medical Management Sciences
关键词
非计划再次手术
手术安全
回顾性研究
Unplanned reoperation
Surgical safety
Retrospective study
