日间手术患者术后非计划再入院原因分析  

Analysis of the Cause of the Postoperative Unplanned Readmission of Ambulatory Surgery Patients

作　　者：王小成[1] 马洪升[1] 李志超[1] 刘洋[1] 戴燕[1] 

机构地区：[1]四川大学华西医院日间手术中心,四川成都610041

出　　处：《四川医学》2016年第2期121-123,共3页Sichuan Medical Journal

基　　金：国家自然科学基金资助项目(编号:71131006);四川省卫生厅科研课题(编号:130104)

摘　　要：目的探讨日间手术患者术后非计划再次入院原因及其预防措施。方法通过对日间手术患者术后28d电话随访,收集本院2014年2月至9月日间手术患者非计划再入院及处治情况。结果电话随访3927例,出院后28d内非计划再入院20例,再入院率0.51%。其中术后感染(切口/尿路/肺部)8例,术后出血5例,继发胰腺炎3例,胆管残留结石2例,术后疼痛2例。3例手术治疗,17例保守治疗。19例治愈出院,1例好转出院。结论术后感染和出血是日间手术非计划再入院主要原因,严把质量关,加强术后健康宣教,坚持术后随访制度,及早发现并发症,能有效保障日间手术患者术后安全。Objective To investigate the cause and preventive measures of the ambulatory surgery patients with postoperative unplanned readmission. Methods The unplanned readmission and treatment situation of ambulatory surgery patients in West China Hospital from February 2014 to September 2014 were collected by 28 d telephone follow-up. Results 3927 cases were collected with 20 cases of non planned readmission within 28 d,the readmission rate was 0. 51%. In these cases,8 were postoperative infection（ cut / urinary tract / lung）,5 were postoperative bleeding,3 were secondary pancreatitis,2 were bile duct residual stone and2 were postoperative pain.Surgical treatment was applied to 3 cases and expectant treatment was applied to 17 cases.19 cases were cured and discharged,only 1 case was improved discharge. Conclusion Postoperative infection and bleeding were the main causes of the non planned re hospitalization in the day surgery.Strict quality control,strengthen the postoperative health education,postoperative follow-up system and early detection of complications,can effectively protect the safety of the patient with daily surgery.

关 键 词：日间手术 医疗质量 医疗安全 

分 类 号：R197.3[医药卫生—卫生事业管理]