| 摘要: |
| 目的 为提高手术质量、保障医疗质量提供管理依据。方法 回顾性分析某三甲肿瘤专科医院2008—2013年442例非计划再次手术病例，对非计划再次手术的发生情况进行分析。结果 肿瘤手术患者非计划再次手术发生率为1.0%，发生的主要原因为术后出血、吻合口瘘、手术切口问题。非计划再次手术的发生与手术难度、手术者专业水平及患者病情因素等因素有关。结论 作为手术质量评价的重要指标，医院应将非计划再次手术监管作为提高质量管理的抓手。 |
| 关键词: 非计划再次手术 医疗质量管理 手术并发症 |
| DOI： |
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| Research on the Cause and Countermeasure of Unplanned Reoperations of Cancer Patients |
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| Abstract: |
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Objective To provide the management basis for improving the quality of operation and ensuring medical safety. Methods A retrospective survey was done on 442 unplanned reoperation cases from 2008 to 2013 in Beijing Cancer Hospital，and the incidence of unplanned reoperations was analyzed. Results The incidence of unplanned reoperation was 1.0%，the main causes of unplanned reoperation were bleeding after surgery，anastomotic leakage and wound problems. The main reasons caused unplanned reoperations were related to the difficulty of operation，surgeons’ level and the physical condition of patients. Conclusion As a useful indicator for measuring surgical quality，the unplanned reoperation events should be monitored as a starting point to ensure the safety in the hospital. |
| Key words: unplanned reoperation,medical quality management, surgical complication |
