期刊文献+

骨科专科手术室提高手术效率的初步研究

Improvement on efficiency of orthopedic procedure with dedicated orthopedic operating room
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摘要 目的探讨骨科专科手术室模式能否提高手术效率,缩短手术时间,同时不影响患者手术质量。方法与手术室合作建立骨科专科手术室(实验组),配备固定麻醉师、护士和手术医生,对专科手术室进行的麻醉时间、手术时间及患者周转时间、患者术后并发症等资料进行记录,并与传统手术室(对照组)进行统计学分析比较。结果与对照组相比,总体上实验组的工作效率得到了明显提升,手术总体时间缩短了23 min(P<0.001),同时实验组患者术后并发症发生率较低(P=0.019),发生严重并发症的患者数量更少(P=0.03)。结论专科手术室的应用可以有效提高骨科手术效率,且不影响医疗质量。 Objective To explore the effectiveness of dedicated orthopedic operating rooms on improving efficiency of orthopedic procedures. Methods The use of a dedicated operating room with staff allocated only for orthopedic procedures was compared to the use of a traditional staffing model, the anesthesia controlled time, operative time and turnover time were evaluated. Results The procedure time was 23 min shorter than that of control group (P 〈 0.001 ) ,without increasing any complication(P = 0. 019). Conclusion Utilizing a dedicated operating room can improve orthopedic procedure efficiency without undermining safety and care of patient.
出处 《局解手术学杂志》 2014年第4期376-377,共2页 Journal of Regional Anatomy and Operative Surgery
关键词 骨科手术 手术室 工作效率 orthopedics procedure operation room efficiency
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  • 1Hariri S, Bozic KJ, Lavernia C, et al ment: past, present, and future [ J ]. J ( 11 ) :2536 -2546.
  • 2Medicare physician reimburse- Bone Joint Surg Am, 2007,89 Wilensky GR. Reforming Medicare' s physician payment system [ J]. N Engl J Med,2009,360 ( 7 ) : 653 - 655.
  • 3Krupka DC, Sandberg WS. Operating room design and its impact on op- erating room economics [ J. Curr Opin Anaesthesio1,2006,19 ( 2 ) : 185 - 191.
  • 4Bozic KJ, Rubash HE, Sculco TP, et al. An analysis of medicare payment policy for total joint arthroplasty [ J ]. J Arthroplasty,2008,23 ( 6 ) : 133 -138.
  • 5Smith MP, Sandberg WS, Foss J, et al. High-throughput operating room system for joint arthroplasties durably outperforms routine processes [ J]. Anesthesiology ,2008,109 ( 1 ) :25 - 35.
  • 6Harders M, Malangoni MA, Weight S, et al. Improving operating room ef- ficiency through process redesign [ J ]. Surgery, 2006,140 ( 4 ) : 509 - 514.
  • 7Sokal SM, Chang Y, Craft DL, et al. Surgeon profiling : a key to optimum operating room use[ J]. Arch Surg,2007,142 (4) :365 -370.
  • 8Dexter F, Epstein RH, Traub RD, et al. Making management decisions on the day of surgery based on operating room efficiency and patient waiting times [ J ]. Anesthesiology,2004,101 (6) : 1444 - 1453.
  • 9Dexter F, Ledolter J. Bayesian prediction bounds and comparisons of op- erating room times even for procedures with few or no historic data[ J]. Anesthesiology,2005,103 (6) : 1259 - 1267.
  • 10Dexter EU, Dexter F, Masursky D, et al. Prospective trial of thoracic and spine surgeons' updating of their estimated case durations at the start of cases [ J ]. Anesth Analg,2010,110 (4) : 1164 - 1168.

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