日间手术临时取消原因分析及对策

Analysis of the Cause for Day-surgery Cancellation and Its Countermeasures

目的分析日间手术病房手术临时取消原因,并提出相应对策,以利于提高日间手术病房工作效率及医疗质量。方法对2012年10月-2013年10月985例次日间手术临时取消患者进行回顾性研究及相关原因分析。结果日间手术临时取消的主要原因有疾病因素、患者及家属临时拒绝手术、术前准备不足、意外等。结论医务人员必须加强责任心,各部门协调配合,做好慢性疾病的术前治疗,做好患者术前健康教育及心理疏导,降低日间手术临时取消率。

Objective To analyze the reasons for operation cancellation, in order to improve the efficiency and quality of work in Day-surgery（DS） ward. Methods Retrospective study and related factor analysis were carried out for 985 cases of canceled DS operations from October 2012 to October 2013. Results The main factors for canceling DS operations included diseases, patients and relatives refusing operation, incomplete preoperative preparation and accidental events. Conclusions DS medical staff of each department should enhance the sense of responsibility and cooperation. Preoperative treatment of patients with chronic diseases and preoperative health education and psychological aids should be strengthened to reduce temporary cancellation of DS operations.