某院手术分级管理的回顾性分析

Retrospective Analysis on the Operational Classification Management in A Hospital

目的完善手术分级管理提供依据。方法采集某院2011年-2012年开展手术分级管理前后的非介入手术,分析手术分级与手术并发症发生率、术者技术职称的关系。结果实施手术分级管理前后手术并发症发生率分别为1.92%和1.90%,无统计学差异;手术级别与手术并发症的发生率呈正相关(P<0.05);同级别手术主任医师手术并发症发生率为4.1%明显高于副主任医师手术并发症发生率0.9%(P<0.05)。结论手术级别的高低影响手术并发症的发生,对于高级别的手术术者职称也会影响手术并发症,需加强对高难度级别手术以及高技术职称医师手术权限的管理。

objective To analyze the implementation situation and its influencing factors of operation classification management in a hospital retrospectively, in order to provide evidence for perfect operation classification management. Methods Data of non-invasive operations of a hospital between 2011 and 2012 before and after implementing operation classification management were collected, and relationships among operation classification, complication rate and technical titles of surgeons were analyzed. Results The complication rate is 1.92% and 1.90% separately before and after the implementation of operation classification management, and there is no statistical difference. Operation rank and complication rate were positively associated（P〈0.05）. At the same level of surgery, the chief physician surgical complication rate was 4.1% which was significantly higher than the deputy chief physician surgical complication rate（P〈0.05）. Conclusion Operation rank affected the complication rate. For high-level surgery, technical titles of surgeons also affected the complication rate, so the management of high difficulty operations and operational permission of surgeons with high technical titles should be strengthened.