نوع مقاله : مقاله پژوهشی
نویسندگان
چکیده
مقدمه: لغو اعمال جراحی در آخرین لحظات یکی از مهم‌ترین عوامل در عدم کارایی و اتلاف منابع بیمارستان است و موجب ایجاد بی‌نظمی در اتاق عمل، اتلاف وقت، سرگردانی و بیکاری پرسنل و اشغال بی‌مورد تخت‌های بیمارستانی می‌شود. لذا در این پژوهش به مقایسه میزان و علل لغو اعمال جراحی در بیمارستان نمازی قبل و بعد از اجرای طرح تحول سلامت پرداخته شد.مواد و روش: مطالعه حاضر از نوع مقطعی بود که در بیمارستان نمازی شیراز انجام شد. مشخصات کلیه اعمال جراحی مورد نیاز از یک تیر 1392 لغایت پایان اسفند 1393به صورت سرشماری جمع‌آوری و در چک لیست محقق ساخته ثبت گردید. متغیرهای مورد بررسی شامل تعداد اعمال جراحی انجام شده در هر ماه، تعداد اعمال جراحی لغو شده در هر ماه و علل لغو اعمال جراحی بود. داده ها با استفاده از نرم افزار SPSS نسخه مورد تحلیل قرار گرفت.یافته‌ها: میزان اعمال جراحی بعد از طرح تحول سلامت افزایش و شاخص لغو اعمال جراحی از 73/11 درصد قبل از طرح تحول به 94/10 درصد بعد از طرح تحول کاهش یافت. قبل از طرح تحول سلامت بیشترین علت لغو اعمال جراحی، عوامل مربوط به جراح بود. بیشترین علت لغو اعمال جراحی بعد از تحول سلامت، دلایل سازمانی و مدیریتی بودکه در این میان، بیشترین مورد مربوط به کمبود وقت اتاق عمل بود.بحث و نتیجهگیری: به نظر میرسد انجام طرح تحول سلامت توانسته است به میزان زیادی لغو اعمال جراحی را کاهش دهد. ولی تلاش در راستای برنامه‌ریزی و مدیریت صحیح جهت رفع علل قابل پیشگیری و استفاده از حداکثر ظرفیت اتاق‌های عمل و بهبود فرایند اعمال جراحی، جهت ارتقای شاخص لغو اعمال جراحی ضروری به نظر میرسد.
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