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Journal of Korean Society Quality Assurance Health Care 1995;2(1): 118.
Published online May 30, 1995.
'계획에 없던 재수술' 의 분석
김은경, 조성현, 김창엽, 오병희
서울대학교병원 QA연구반
An analysis of unplanned reoperation
Eun-Gyung Kim, Sung-Hyun Cho, Chang-Yup Kim, Byung-Hee Oh
QA Office, Seoul National University Hospital
Abstract
Background
Clinical indicators are objective measures of process or outcome of patient care in quantitative terms. This study aims to review the medical records of patients who 'return to operating room during the same admission', which is one of the critical clinical outcomes, and describe the result by unplanned reoperation rate.
Methods
Computerized patient registry was used for selecting subject conditions. For medical records retrieved, two nurse evaluators identified the presence of explicit reoperation planning in medical records.
Results
Overall reoperation rate was 2.8% and unplanned reoperation rate 1.3%. The main category of reoperation cause was the postoperative bleeding. Duration of stay from previous operation to reoperation of the unplanned group, 12.7 days, was shorter than that of the planned(p< .05). The differences did not reach statistical significance in age, sex and length of stay.
Conclusion
Results suggested that unplanned reoperation rate was lower than 'threshold' level other institutions had established. However, this result could become comparable only after management of medical records would be improved and risk adjusted.
Key words clinical indicator;return to operating room;unplanned reoperation rate;


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