Volume 20 Issue 8
Aug.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(8): 1423-1426
HUANG Jun-jie, HUANG Ming-zhi, ZHU Jing-rui, HUANG Jing-wen. Statistics of surgical patients' complications based on performance appraisal of tertiary public hospitals[J]. Chinese Journal of General Practice, 2022, 20(8): 1423-1426. doi: 10.16766/j.cnki.issn.1674-4152.002613
Citation: HUANG Jun-jie, HUANG Ming-zhi, ZHU Jing-rui, HUANG Jing-wen. Statistics of surgical patients' complications based on performance appraisal of tertiary public hospitals[J]. Chinese Journal of General Practice, 2022, 20(8): 1423-1426. doi: 10.16766/j.cnki.issn.1674-4152.002613
shu

Statistics of surgical patients' complications based on performance appraisal of tertiary public hospitals

doi: 10.16766/j.cnki.issn.1674-4152.002613

  • Department of Quality Management, the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233004, China

Funds:

 SK2019A0208

  • Received Date: 2021-09-15
    Available Online: 2022-09-26
    Abstract
  •   Objective  The complication rate of surgical patients is one of the important outcome indicators to measure the medical technical ability and management level of hospitals. The statistics and management of surgical complications are the key and difficult points of medical quality management. Referring to the statistical methods of surgical complications in the performance appraisal of three-level public hospitals in China, the complications of surgical patients are counted through the medical record homepage.  Methods  On the basis of improving the quality of the medical record homepage, the complications of surgical patients in a three-level public hospital from 2019 to 2020 were counted using the first page of inpatient medical records. The complications of surgical patients in the hospital were preliminarily analysed and the high-risk departments and key diseases of surgical patients were determined in accordance with the statistical results.  Results  The complications of surgical patients with the largest number of cases were bleeding or hematoma, poor wound healing and pulmonary infection. The number of three complications accounted for 63.29% of the total number of surgical complications in the hospital. The clinical department with the largest number of complications had defects in the use of antibiotics and postoperative nursing.  Conclusion  The management of complications in surgical patients is complex. The causes of different complications are diverse and great differences may exist in the causes of the same complication. Accurate surgical operation, fine nursing, rational drug use and correct use of instruments and equipment are important means to prevent complications in surgical patients. The management of surgical patients' complications is the management of the whole process of diagnosis and treatment behaviour. It needs the support of informatisation, the effective implementation of supporting systems, the cooperation of multiple departments and the level of hospital medical technology as a guarantee. The intervention measures for the complications of surgical patients should also be evaluated and continuously optimised.

     

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