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윤계숙 ( Yoon Ke-Sook ) - 삼성서울병원 통원수술센터
김은경 ( Kim Eun-Gyeong ) - 삼성서울병원 통원수술센터
정소현 ( Jung So-Hyun ) - 삼성서울병원 통원수술센터
이승주 ( Lee Seung-Ju ) - 삼성서울병원 통원수술센터
정미경 ( Jung Mi-Kyoung ) - 삼성서울병원 통원수술센터
이영미 ( Lee Young-Mee ) - 삼성서울병원 통원수술센터
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Abstract
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Purpose: This study was conducted to compare three discharge criteria; 1) discharge criteria of S Hospital determined by nurses, 2) discharge readiness determined by patients, and 3) the Modified Post-Anesthetic
Discharge Scoring System (MPADSS). The usefulness of MPADSS as a discharge criteria for the patients’safe
return to home after ambulatory surgery was also evaluated.
Methods: A total of 370 day surgery cases were investigated. The MPADSS was employed in every 30 min. in parallel with discharge readiness assessment by nurses and patients. The percentage of the patients who were ategorized as being ready to discharge were compared according to three discharge criteria.
Results: The percentage of patients scored to be as MPADSS > 9 in 30 min, 60 min, 90 min were 96.5%, 99.5%, 100% respectively. Whereas 11.1%, 44.3%, 71.1% of patients rated themselves as being ready to discharge and 2.7%, 23.5%, 54.3% of patients actually discharged by nurses according to discharge criteria of S Hospital.
Conclusion: Nurses tend to keep patients longer in the hospital when compared to the patient’s own assessment about their readiness to home and to that of MPADSS. Faster discharge in the evening than day time suggests patient discharge can be influenced by nursing factors. This brings out the importance of scoring system to determine the safe discharge. The MPADSS could be a useful tool in evaluating patients for safe discharge.
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KeyWords
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통원 수술, 퇴실기준
Ambulatory surgery, Discharge criteria
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원문 및 링크아웃 정보
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등재저널 정보
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