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首页> 外文期刊>Journal of Ayub Medical College >AUDIT OF SURGICAL EMERGENCY AT LAHORE GENERAL HOSPITAL
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AUDIT OF SURGICAL EMERGENCY AT LAHORE GENERAL HOSPITAL

机译:拉合尔普通医院的外科急诊审核

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Background: Audit is a quality improvement process that seeks to improve patient care and outcomes through systematic review of care against explicit criteria and the review of change. Objective of this study was to report the patterns of admissions in our surgical emergency and the comparison of results with the available data Methods : All the patients presented in the surgical emergency of Unit III from April to December 2014. Detail of all surgical patients admitted during the period was recorded from the emergency entry register maintained by the staff nurse. Demographic data, mode of admission, diagnosis and outcomes were recorded on a pro form a. Results: Total number of patients were 11140, out of which 5998 (53.8%) were males and 5142 (46%) were females, mostly were between 18–56 years of age. Emergency surgeries were performed in 650 of our cases whereas the rest of the patients were managed conservatively, treated at minor operation theatre (MOT), referred to their concerned emergencies or discharged. The most common presentation was road traffic accidents followed by trauma, urological emergencies and intestinal obstruction. Overall mortality was estimated as 1.5%. Conclusions: Surgical audit should be made a regular practice to serve as an important and effective tool of accountibilty on clinical outcomes and self evaluation and in improving the quality of our health care system. Keywords: Surgical Audit, surgical emergency, outcomes
机译:背景:审计是一个质量改进过程,旨在通过根据明确的标准对治疗进行系统的审查以及对变更的审查来改善患者的护理和结果。这项研究的目的是报告我们外科急诊的入院类型,并将结果与​​现有数据进行比较方法:2014年4月至2014年12月,所有患者都参加了III单元的外科急诊。该时间段是由工作人员护士保存的紧急进入记录簿中记录的。人口统计学数据,入院方式,诊断和结局均记录在表格a上。结果:患者总数为11140,其中男性5998(53.8%)和5142(46%)是女性,大多数在18-56岁之间。在我们的650例患者中进行了急诊手术,而其余患者则接受了保守治疗,在小手术室(MOT)进行了治疗,转诊至相关紧急情况或已出院。最常见的表现是道路交通事故,其次是创伤,泌尿外科急诊和肠梗阻。总体死亡率估计为1.5%。结论:应当定期进行手术审计,以作为对临床结果和自我评估以及改善我们的医疗保健系统质量负责的重要而有效的工具。关键字:手术审计,外科急诊,结果

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