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目的加强手术质量管理,提高医疗质量。方法结合病案统计系统采集的手术信息,对某医院2012年所有非计划再手术病例进行回顾性分析。结果 2012年住院手术共计8673例,非计划再手术病例7例,非计划再手术率0.08%,非计划再手术的发生与患者自身的基本身体状况、手术难度有一定关系,术区感染是造成非计划再手术的主要原因。结论严格执行患者病情评估与术前讨论、手术分级授权管理制度及手术操作规程,可以降低非计划再手术的发生。
Objective To strengthen surgical quality management and improve medical quality. Methods According to the operation information collected by the medical record system, all unplanned reoperation cases in a hospital were retrospectively analyzed. Results In 2012, there were 8,663 hospitalizations, 7 cases of unplanned reoperation, and 0.08% of unscheduled reoperation. The unplanned reoperation was related to the patients’ basic physical condition and operation difficulty. Operational infection was caused by Unplanned re-surgery the main reason. Conclusion Strict implementation of the patient’s condition assessment and preoperative discussion, surgical grading authorization management system and surgical procedures can reduce the incidence of unplanned reoperation.