住院择期手术取消的原因分析及建议

目的 探索大型三甲医院住院择期手术取消的真实原因,提出相应的对策以期减少手术取消。 方法 连续纳入2014年11月1日─2015年1月31日期间某大型三甲医院住院择期手术取消原因,以医疗组长填报和随访核实两种形式收集资料。 结果 调查期间,共排程13 774例,取消2 224例,取消率为16.15%。分析随访核实的数据,医务人员因素占44.11%,患者因素占30.94%,医院因素占24.95%。 结论 基于住院择期手术真实原因的分析,医务人员因素是最主要的取消原因且为可避免因素。

Analysis and Suggestions of the Reasons for Cancellation of Inpatient-elective Surgery

Objective To explore real causes of surgical cancellation in a large size tertiary hospital to explore relevant strategies to reduce surgery cancellations. Methods From November 1 2014 to January 31, 2015, collecting the reasons for cancellation of inpatient-elective surgery in a large size tertiary hospital through two manners: recorded by surgeon and verified by face to face. Results 13 371 cases were scheduled for elective surgical procedures of inpatients in the study period. 2 224 cases (16.15%) of these were cancelled. Reasons for cancellation of elective operations about verified-data were analyzed: staff-related factors (44.11%), patient-related factors (30.94%) and hospital-related factors (24.95%). Conclusion Staff-related factors are the most commonest and avoidable which are based on analysis of true data.