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| Quality evaluation of unplanned reoperation by casecontrol study |
| Wu Xiaojuan1, Zhao Qingxiang2, Qu Wei1,Shi Doufei1, Xu Tianhe3 |
1.Quality Management Office,Binzhou Medical University Hospital,Binzhou 256603, China;
2.Pain Medicine,Binzhou Medical University Hospital;
3.Binzhou Medical University |
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Abstract Objective To analyze the occurrence of unplanned reoperation, and explore the influence on medical quality, in order to provide measures for improving medical quality.Methods The information of unplanned reoperation patients in our hospital from 2014 to 2017 was collected, the causes of reoperation were analyzed, and the impact of unplanned reoperation on medical quality index was explored by case-control study.Results From 2014 to 2017,there were 122 396 inpatient surgery cases in the hospital, including 169 unplanned reoperations, with an incidence of 0.14%. The main reasons of the unplanned reoperations included postoperative bleeding (96 cases, 56.80%), incision infection (22 cases, 13.02%), failure to reach the effect of surgery(13 cases, 7.69%), postoperative hematoma(10 cases, 5.92%),and postoperative cerebral edema (7 cases, 4.14%).Compared to the control group,unplanned reoperation could prolong the average days of hospitalization, increase hospitalization costs, drug costs, material consumables, and drug proportion (P<0.05).Conclusion Hospitals should strengthen the management of unplanned reoperations, aim at the existing problems in the operations and improve the medical quality of our hospital.
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Received: 28 March 2019
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