口腔颌面日间手术当日取消的原因分析及对策建议  

Analysis of reasons and countermeasures for cancellation of oral and maxillofacial day surgery

作　　者：李燕[1] 徐莹[1] 杨悦来 纪均[2] 施瑱[2] LI Yan;XU Ying;YANG Yue-lai;JI Jun;SHI Tian(Department of Nursing,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China;Department of Anesthesiology,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院护理部,上海200011 [2]上海交通大学医学院附属第九人民医院麻醉科,上海200011

出　　处：《上海口腔医学》2023年第3期328-331,共4页Shanghai Journal of Stomatology

基　　金：上海交通大学医学院附属第九人民医院护理级基金(JYHL2021MS12)。

摘　　要：目的:分析口腔颌面日间手术当日取消的缘由,并提出对策,为提高日间手术病房工作效率及医疗质量提供参考。方法:统计2021年6月1日—2021年12月31日上海交通大学医学院附属第九人民医院口腔颌面日间手术当日取消手术例数,对相关原因进行分析。结果:在统计的时间段内,共有口腔颌面日间手术患者3134例,当日取消72例(2.30%),其中患者原因31例(43.06%),疾病原因28例(38.89%),疫情原因10例(13.89%),医方原因3例(4.17%)。取消率前3位科室为口腔预防科7例(7.37%)、口腔外科22例(2.95%)和口腔颅颌面科18例(2.77%)。结论:通过加强麻醉评估门诊的筛查,加强医患沟通,加强日间手术门诊管理中心健康宣教和加强疫情防控,可降低口腔颌面日间手术当日取消率。PURPOSE:To analyze the reasons for cancellation of oral and maxillofacial day surgery on the same day,and to propose countermeasures,so as to provide reference for improving the work efficiency and medical quality of day surgery ward.METHODS:The number of oral and maxillofacial day surgery cancellation cases in Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine from June 1,2021,to December 31,2021 was calculated and then the relevant causes were analyzed.RESULTS:During the statistical period,a total of 3134 patients underwent oral and maxillofacial day surgery.Among them,72(2.30%)cases were canceled of day surgery on the same day.Cancellation of oral and maxillofacial day surgery was as followed:patient-related factors(31,43.05%),disease-related factors(28,38.89%),epidemic of Covid 19-related(10,13.89%),and hospital-related factors(3,4.17%).The top three departments of oral and maxillofacial day surgery cancellation were Department of Preventive Dentistry(7,7.37%),Department of Oral Surgery(22,6.56%)and Department of Oral and Craniomaxillofacial Surgery(18,2.77%).CONCLUSIONS:The cancellation rate of oral and maxillofacial day surgery can be reduced by strengthening screening in anesthesia assessment at outpatient clinic,strengthening doctor-patient communication,strengthening health education and epidemic prevention and control in day outpatient management center.

关 键 词：口腔颌面日间手术 手术当日取消 原因分析 对策措施 

分 类 号：R782[医药卫生—口腔医学]