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目的系统检索、介绍国内外择期手术取消的相关文献并加以归纳和分析,为我国医院的手术室管理提供参考。方法系统检索Pub Med、中国知网、维普、万方数据库,检索时限均截至2016年1月31日,对符合纳入标准相关文献的主要结果进行描述性分析。结果共纳入37篇文献。以回顾性研究、前瞻性研究为主,分别占62.16%、27.03%。不同的文献研究对象不同,择期手术取消率为0.15%~40.80%。以改进为着力点,可将择期手术取消原因分为:医院因素、医务人员因素和患者因素。结论择期手术取消是医疗质量的影响因素,鉴定可避免的区域,提出相应的综合措施,降低手术取消率。
Objective To search and introduce the relevant literature of elective surgery cancellation both at home and abroad, and to summarize and analyze them, so as to provide a reference for the operation room management in Chinese hospitals. Methods PubMed, China Knowledge Network, VIP and Wanfang databases were searched systematically. The retrieval time was up to January 31, 2016, and the descriptive analysis of the main results that met the inclusion criteria was made. Results A total of 37 articles were included. Based on retrospective studies and prospective studies, they accounted for 62.16% and 27.03% respectively. Different objects of different studies, elective surgery abolition rate of 0.15% ~ 40.80%. To improve as the focus, the elective surgery can be divided into: hospital factors, medical staff and patient factors. Conclusions Elective surgical ablation is the influencing factor of medical quality, identifying the avoidable areas and putting forward the corresponding comprehensive measures to reduce the rate of surgical ablation.