摘要
目的分析非预期二次手术发生原因及影响,提出改进措施。方法从医院HIS系统中提取二次手术相关数据。结果 2013年共计发生非预期二次手术114例,发生率为2.06‰。术后出血及血肿是非预期二次手术发生的主要原因。结论非预期二次手术延长了住院时间,增加了医疗费用,且死亡率明显增加。医院为此设计开发了手术质量监测系统,加强了对重点科室、重点病种的监控以及对手术并发症的管理,并落实质量考评。提升了手术质量,降低了二次手术发生率。
Objective To analyze the influence factors of 114 Cases of unplanned re - operation, to make targeted improvements. Method The psychological health status of 62 outpatient nurses was investigated with the Symptom Checklist 90 （ SCL- 90 ） and Coping Style Questionnaire I CSQ）. Result In 2013, 114 unplanned re - operations were occurred with rate of 2.06%. Post - operation bleeding and hematoma were major risk factors for unplanned re - operation. Conclusion Unplanned re - operation promoted the medical expense, prolonged length of stay, increased mortality. By developing an operation quality monitoring platform, the major departments and major diseases were monitored, and the management on adverse events of the operations was strengthened with quality evaluation, which increased operation quality and reduced the incidence of the unplanned re - operation.
出处
《中国卫生质量管理》
2015年第1期54-55,共2页
Chinese Health Quality Management
