Delayed in Transit, the report of the National Confidential Enquiry into Patient Outcome and Death (NCEPOD) on acute bowel obstruction (ABO), highlighted a number of areas for improvement in this group of patients. The overarching finding was that there were delays in the pathway of care for patients with ABO at every stage of the clinical pathway, including diagnosis, decision-making and the availability of operating theatres. Furthermore, basic measures including hydration, nutritional screening and nutritional assessment were noted to be deficient. Patients who were admitted to non-surgical wards had an increased risk of delayed treatment and subsequently a longer starvation period. There was room for improvement of nutritional screening and assessment on admission, throughout the hospital stay and on discharge. A selection of the report recommendations that address these areas requiring improvement is discussed here.

中文翻译：

---

转运延误：NCEPOD 急性肠梗阻报告中的精选建议

中转延迟，关于急性肠梗阻 (ABO) 的患者结果和死亡国家机密调查 (NCEPOD) 的报告强调了这组患者的一些需要改进的领域。总体发现是，在临床路径的每个阶段，包括诊断、决策和手术室的可用性，对 ABO 患者的护理路径都有延迟。此外，还指出缺乏包括补水、营养筛查和营养评估在内的基本措施。入住非手术病房的患者延迟治疗的风险增加，随后的饥饿期更长。入院、住院期间和出院时的营养筛查和评估仍有改进空间。