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首页> 外文期刊>Health services management research: an official journal of the Association of University Programs in Health Administration >Investigating consistent patterns of variation in short-notice cancellations of elective operations: The potential for learning and improvement through multi-site evaluations
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Investigating consistent patterns of variation in short-notice cancellations of elective operations: The potential for learning and improvement through multi-site evaluations

机译：调查一致的变化模式临时通知取消的选择性操作:学习和潜力通过改进多站点的评价

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摘要

As part of efforts to increase productivity in healthcare, there is considerable interest in the extent and causes of variation in the performance of provider organisations. In this study, we use publically available data from the English NHS to examine the characteristics of variation in the rates of short-notice cancellations of elective operations due to hospital reasons (e.g. lack of the required resources such as operating theatres and beds). We find that the variation between hospital trusts is very non-random. There is a fourfold difference in the cancellation rates between the top and bottom deciles of performance. Little is known about the causes of this. There is a large and striking consistency in the relative performance of hospital trusts on cancellation rates over the last five years. Thus, the best and worst performers are consistently relatively very good or very poor, so a multi-site comparison of practices, and accounting for confounds like patient demographics, could be very valuable to inform both this knowledge gap and practice in healthcare. Of particular interest is that the cancellation rates could be a symptom of deeper issues with the efficiency of patient flows within hospitals.
机译：努力提高生产力的一部分医疗保健,有相当大的兴趣性能变化的程度和原因供应商的组织。英国国民健康保险制度的公开可用的数据检查变化的特点选修课的通知取消由于医院的原因(例如,缺乏操作所需的资源(如手术室和床)。医院的信任很随机。取消利率四倍的差异顶部和底部之间十分位数的性能。这一点。在医院信托的相对性能取消利率在过去五年。因此,表现最好和最差的一直相对很好或很穷的地方,所以多站点比较实践,会计等混淆的病人人口统计数据,可以非常有价值的通知这种知识缺口和实践医疗保健。取消利率可能是更深的一个症状病人流的效率问题在医院。

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