目的 探索住院患者择期手术取消的原因,提出相应的对策和干预措施,以期降低手术临时取消率.方法 统计2016年7月1日-2016年10月31日某院住院患者临时取消择期手术例数,对相关原因进行分析.结果 取消手术691例(5.74%),其中疾病原因321例(46.45%)占比最多,患者原因238例(34.44%),医方原因113例(16.35%).取消率前三位科室为胸外科(12.68%)、口腔颅颌面科(8.62%)、口腔头颈肿瘤科(8.01%).结论 多数手术取消可以通过推进信息化建设,推进日间手术,加强术前评估,提高业务水平,绩效挂钩等措施加以避免,当日取消手术的发生率有很大的下降空间.%Objective To explore the causes of surgical cancellation in hospital and to explore relevant strategies to reduce surgery cancellations.Methods Calculate the number of elective surgery cancellation cases from July 1 to October 31 and then analyze the relevant causes.Results 691 (5.74%) elective surgery cases were canceled in the study period.Cancellation of elective operations about verified data is analyzed:disease-related factors 231 (46.45%),patient-related factors 238 (34.44%) and hospital-related factors 113 (16.35%).The department of top three cancellation rate are Thoracic Surgery (12.68%),Oral and Cranio-Maxillofacial Surgery (8.62%),Oral and Maxillofacial-Head and Neck Oncology (8.01%).Conclusion Most of the operation can be avoided by advancing the construction of information technology,promoting the day surgery,strengthening preoperative evaluation,improving the level of business,performance and other measures.There is a big decline in space for the incidence of Day to cancel surgery.
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