Clinical Research Directory

Effect of a Constipation Prevention Checklist in Hip Surgery Patients

Constipation is a common postoperative problem in patients undergoing hip surgery and may be associated with immobilization, opioid analgesic use, and inadequate fluid and fiber intake. Preventive interventions, including adequate fluid and nutritional intake, early mobilization, and abdominal massage, may help maintain bowel function. However, evidence regarding the effectiveness of a standardized checklist to guide and monitor these interventions throughout the perioperative period remains limited. This randomized controlled trial aims to determine the impact of monitoring the risk of perioperative constipation and prevention interventions using a standard checklist on bowel sounds, postoperative constipation severity, and quality of recovery in hip surgery patients. The checklist includes a systematic assessment of constipation risk and monitoring of preventive interventions, including fluid and nutrient intake, early mobilization, and abdominal massage. The findings may contribute to improving perioperative nursing care and constipation prevention in patients undergoing hip surgery.

Establishment of Emergency Surgery Triage and Checklist Management System

The goal of this observational study is to develop and test a system for managing emergency surgery patients at Beijing Union Medical College Hospital. The main questions it aims to answer are: What information is necessary for effective patient triage and handovers between the emergency department, anesthesia, and ICU for surgical patients? How effective and feasible is a standardized handover process in improving patient outcomes and safety? Participants will: Be observed and have their handovers documented to identify key information required. Participate in implementing a new handover checklist and triage system. Researchers will compare the periods before and after implementing the new system to see if it: Reduces missed critical information during handovers. Decreases pre-surgery waiting times for critically ill patients. Improves overall patient safety and outcomes, including reducing postoperative complications, mortality rates, length of hospital stay, and medical costs.