80例非计划再次手术原因及对策  

Reason Analysis and Countermeasures of 80 Unplanned Reoperation

作　　者：袁婷[1] 李欣欣[1] 刘志宇[1] 

机构地区：[1]大连医科大学附属第二医院医务部,大连116000

出　　处：《解放军医院管理杂志》2016年第1期22-24,共3页Hospital Administration Journal of Chinese People's Liberation Army

摘　　要：目的建立和完善非计划再次手术的监管体系,确保医疗质量和安全。方法回顾性分析某三甲医院2013年下半年、2014年上半年80例非计划再次手术病例,对医源性非计划再次手术的发生情况及根本原因进行分析。结果非计划再次手术最常见的原因为术后出血。结论非计划再次手术的发生与手术者专业技术水平、患者基础疾病、病理医师诊断水平、手术难度、工作负荷等相关,从手术分级管理、严格考核核心制度等方面加强监管,可有效降低非计划再次手术的发生率。Objective To establish the effective supervision system and ensure medical quality and salty. Methods Through the retrospective study of 80 unplanned reoperation from Jul 2013 to Jun 2014, the incidence and reason of iatrogenic unplanned reoperation were analyzed. Results The main cause of unplanned reoperation was bleeding. Conclusion The main reason of unplanned reoperation were ralated to surgeons＇ professional level, patients＇ physical condition, pathological diagnosis, difficulty of operation, work load and so on. Unplanned reoper- ation rate could be reduced by hierarchical operation management and strictly core appraisal system.

关 键 词：非计划再次手术 医疗质量 手术分级管理 

分 类 号：R197.32[医药卫生—卫生事业管理]