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Snowy 發問時間: 社會與文化語言 · 1 0 年前

英翻譯中(醫學文章)part 2 of 2

Thus, surgical care and its attendant complications represent

a substantial burden of disease worthyof attention

from the public health community worldwide.

Data suggest that at least half of all surgical complications are avoidable.

Previous efforts to implement practices designed to reduce surgical site infections or anesthesia-related mishaps have been shown to reduce complications significantly.

A growing body of evidence also links teamwork in surgery to improved outcomes, with high-functioning teams achieving significantly

reduced rates of adverse events.

In 2008, the World Health Organization(WHO) published guidelines identifying multiple recommended practices to ensure the

safety of surgical patients worldwide.

On the basis of these guidelines, we designed a 19-item checklist intended to be globally applicable and to reduce the rate of major surgical complications(Table 1).

(For the formatted checklist, see the Supplementary Appendix available, with the full text of this article at NEJM.org.)

We hypothesized that implementation of this checklist and the associated culture changes it signified would reduce the rates of death and major complications after surgery in diverse settings.

Discussion --

Introduction of the WHO Surgical Safety Checklist into operating rooms in eight diverse hospitals was associated with marked improvements in surgical outcomes.

Postoperative complication rates fell by 36% on average, and death rates fell by a similar amount.

All sites had a reduction in the rate of major postoperative complications, with a significant reduction at three sites, one in a high-income location and two in lower-income locations.

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  • 1 0 年前
    最佳解答

    因此,外科關心和它的伴隨複雜化代表疾病worthyof注意的堅固負擔從全世界公共衛生社區。

    數據建議至少一半所有外科複雜化是能避免的。

    早先努力實施被設計的實踐減少外科站點傳染或與麻醉相關的不幸事故顯示了極大減少複雜化。

    證據一個生長身體與被改進的結果也連接在手術的配合,當高作用的對極大達到有害事件的減少的機率。

    在2008年,世界衛生組織(世界衛生組織)出版了辨認多建議使用的實踐的指南保證全世界外科病人安全。

    根據這些指南,我們設計了意欲的一個19項目清單是全球性地可適用的和減少主要外科複雜化(表1)的率。 (為格式化的清單,看補充附錄可利用,對這篇文章全文在NEJM.org。)

    我們假設它符號化這個清單和伴生的文化變動的實施在不同的設置的手術以後將減少死亡和主要複雜化的機率。

    討論 -- 世界衛生組織外科安全清單的介紹到手術室里在八家不同的醫院同在外科結果的明顯改善聯系在一起。

    手術後復雜化率平均下降了36%,並且死亡率由相似的數額下降了。

    所有站點有對主要手術後複雜化的率的減少,與重大減少在三個站點,一在高收入地點和二在低收入的地點。

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