Management of Unplanned Resurgery

Limin Zhang, Jianling Yang, Haiming Wang, Xiangdong Peng, Dapeng Qu, Suying Jiao, Ruimin Bai, Qili Xin
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Abstract

AbstractObjective. To analyze the causes of unplanned resurgery, and provide an objective basis for the quality evaluation and improvement of the hospital's medical treatment services. Method. A retrospective analysis of 40 cases of unplanned resurgery in a hospital in 2012 was carried out. Result. The rate of occurrence of unplanned resurgery was 0.55% in the hospital in 2012; the main causes included postoperative bleeding, inconsistency between the results of the intraoperative frozen section examination and the pathological examination, which needed further consultation, and incision dehiscence. The proportions of these were 55%, 13% and 10%, respectively. Conclusion. Our department should strengthen perioperative management; the hospital should consider unplanned resurgery as the focus of medical quality management and strictly implement operation grading management and reauthorization systems to decrease the incidence of unplanned resurgery.
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计划外手术的处理
AbstractObjective。分析计划外手术发生的原因,为医院医疗服务质量评价和改进提供客观依据。方法。对2012年某医院40例计划外手术进行回顾性分析。结果。2012年全院计划外手术发生率为0.55%;主要原因为术后出血、术中冰冻切片检查结果与病理检查不一致,需进一步会诊、切口开裂。这些比例分别为55%、13%和10%。结论。加强围手术期管理;医院应将非计划性手术作为医疗质量管理的重点,严格实施手术分级管理和再授权制度,降低非计划性手术的发生率。
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