Cause and Analysis of Temporarily Rescheduled Selective Operations_West China Medical Journal

Authors：

 HOUYan-ling ¹ , MAJing ¹ , MAHou-zhi ²

1. Department of Nursing, the Fifth People's Hospital of Chengdu City, Chengdu, Sichuan 611130, P. R. China;
2. Department of Nursing, the Guidance Organization of Family Planning of Chengdu City, Chengdu, Sichuan 610031, P. R. China;

Corresponding author：

Keywords：

Selective operations; Reschedule; Cause analysis

DOI：

10.7507/1002-0179.20140227

Video：

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Objective To summarize and analyze the causes of temporarily rescheduled selective operations in hospital and to find out improvements via statistical analysis. Methods By referring to the specialized anesthesia log, the rescheduled operations among all the selective operations in 2012 were retrospectively studied, and the rescheduled situations in different ages, sex and departments were analyzed. The specific causes of rescheduling and improvements were also discussed. Results There were 582 rescheduled cases among all the 9 670 selective operations from January to December in 2012, with a rescheduling rate of 6.02%. The top three departments were orthopedics, thoracic surgery, and neurosurgery. Main causes for rescheduled cases were diseases, inadequate preoperational preparations, requests of patients or relatives and accidents. Conclusion Medical workers should get preoperational patients fully prepared materially, physically and psychologically via reinforcement of preoperative evaluation and preparation and avoidance of unexpected situations, so as to reduce rescheduling phenomena of selective operations.

Citation： HOUYan-ling, MAJing, MAHou-zhi. Cause and Analysis of Temporarily Rescheduled Selective Operations. West China Medical Journal, 2014, 29(4): 754-756. doi: 10.7507/1002-0179.20140227 Copy

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15.	杨红玲, 师恩洲. 手术预约申请排班流程优化改造对医院的影响[J]. 医学信息(上旬刊), 2011, 24(1):519-520.

1. 马金红, 董华, 李爱民. 医院停手术管理的实践与体会[J]. 中国医院, 2013, 17(11):52-53.
2. 王纯君. 择期手术临时取消原因分析及管理对策[J]. 海南医学, 2013, 24(18):2765-2766.
3. 李昌秀, 江智霞, 安敏捷, 等. 560例择期手术临时取消原因调查分析[J]. 全科护理, 2011, 9(9):2431-2432.
4. 王辉, 吴虎兵. 择期手术取消影响因素分析[J]. 医院院长论坛, 2012, 5(3):46-49.
5. 姜定湘, 朱诗利, 张溪英, 等. 儿童择期手术取消的原因分析及对策[J]. 当代护士·综合版, 2011(9):30-31.
6. 解秀涛, 常后婵, 钟爱玲, 等. 择期手术临时取消的原因分析及管理对策[J]. 护理管理杂志, 2012, 12(5):366-367.
7. 许冰, 方才, 杜丽. 择期手术当日取消的原因分析及对策[J]. 安徽医药, 2009, 13(1):42-43.
8. 何世伟. 择期腹部手术患者术前焦虑影响因素的相关分析[J]. 当代医学, 2012, 18(1):18-19.
9. 林华赋, 程芳, 黄敏, 等. 妇科腹腔镜手术围术期血糖变化的研究[J]. 当代医学, 2011, 17(22):67-69.
10. 黄建嫦, 马珊. 普外科手术患者术前焦虑的心理护理分析[J]. 吉林医学, 2010, 31(18):2912-2913.
11. 孙玲, 公静, 王隽, 等. 性别因素对择期手术患者术前心理需求的影响及护理对策[J]. 武警医学, 2012, 23(6):495-496.
12. 宋尧. 手术前焦虑与心理护理[J]. 河南外科学杂志, 2011, 17(1):110-112.
13. 钱慧萍. 门诊择期手术患者术前焦虑状况的评估与护理干预[J]. 解放军护理杂志, 2010, 27(9):665-667.
14. 余娜, 袁岚. 非计划取消手术原因及对策[J]. 华西医学, 2011, 26(10):1562-1563.
15. 杨红玲, 师恩洲. 手术预约申请排班流程优化改造对医院的影响[J]. 医学信息(上旬刊), 2011, 24(1):519-520.

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West China Medical Journal

Cause and Analysis of Temporarily Rescheduled Selective Operations

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