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基于首台择期手术开始时间的及时性对手术室成本影响的研究

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目的 分析某医院首台择期手术开始时间的及时性并观察其对手术室成本的影响。方法 对某医院首台手术开台情况进行统计分析,记录首台手术开台准时率,对首台手术开台时间延误的原因进行分析,制定相应的干预措施成立"提高手术室使用效率管理小组",比较实施前后首台手术开台的准时率、手术进行情况、成本控制情况及手术医生和患者满意度情况。结果 首台手术开台总体准时率为53。74%,其中结直肠手术科的准时率最高,为63。16%,而微创手术科的准时率最低,为45。45%。首台手术开台延误的主要原因包括手术医师晚点(35。29%)、麻醉未及时完成(30。88%)和手术终止(17。65%)。与实施前相比,实施后首台手术开台准时率升高,护士加班时间缩短,开台时间与预期时间差、手术间隔时间与预期时间差均缩小(P<0。05),实施后1个月内集中送供应室频率、不必要耗材成本支出均降低(P<0。05),实施后手术患者及医师的满意度均升高(P<0。05)。结论 通过提高首台择期手术的开台准时率,可以有效降低手术室的成本、缩短护士加班时间,同时提高手术医生和患者的满意度。
Study based on the impact of the timeliness of the first elective operation start time on the operating room costs
Objective To analyze the timeliness of the start time of the first elective operation in a hospital and observe its impact on the operating room cost.Methods Make statistics and analysis on the opening of the first operation in a hospital,record the on-time opening rate of the first operation,analyze the reasons for the delay in the opening time of the first operation,formulate corresponding intervention measures and set up a"management team to improve the efficiency of operating room use".The on-time rate of the first operation,operation,cost control and the satisfaction of surgeons and patients were compared before and after the operation.Results The overall punctuality rate of the first operation was 53.74%,among which the colorectal sur-gery department had the highest punctuality rate of 63.16%,while the minimally invasive surgery department had the lowest punctuality rate of 45.45%.The main reasons for the delay of first operation(35.29%),failed anesthesia(30.88%),and the termination of the operation(17.65%);compared with before implementation,higher overtime time of nurses,shorter opening time and expected time,decreased interval between operation(P<0.05),lower frequency of centralized delivery and unnecessa-ry consumables cost within 1 month after implementation(P<0.05),and higher satisfaction of patients and physicians after im-plementation(P<0.05).Conclusion By improving the first elective operation on time,can effectively reduce the cost of the operating room,shorten the nurse overtime time,at the same time improve the satisfaction of doctors and patients,and improve the management efficiency of the operating room,the first operation on time improved,interval time and unnecessary consumables costs are significantly reduced,optimize the use efficiency of the operating room resources.

Operating roomCost managementOpening on timeDelay reasonSatisfaction

谭志好、蔡宜良、冯锦环、李琴、许小贞、许世申、黄衍富、陈家趁

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阳江市阳东区人民医院 广东阳江 529500

手术室 成本管理 准时开台 延迟原因 满意度

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(9)