Lynch Frank
Department of Radiology, Milton S. Hershey Medical Center, The Pennsylvania State University, Hershey, Pennsylvania 17033-0850, USA.
J Am Coll Radiol. 2004 Dec;1(12):965-71. doi: 10.1016/j.jacr.2004.06.026.
The effect on efficiency of patient care in a busy academic interventional radiology practice was studied by the analysis of procedure times both before and after the implementation of a computerized interactive daily schedule. Procedure start and end times were retrospectively collected from the department's quality assurance database for two identical 6-month periods, representing the time before and after the deployment of the software. The delay in the start of the first case, the time between cases, and the time required to complete each day's work were compared for the two periods.
The average time of delay between cases was reduced after the implementation of the software (p < 0.025). More total cases were performed during the period of time after the implementation of the software, resulting in a greater work relative value unit production. Although the average number of cases performed per day was greater after the software was in use (p < 0.03), the average amount of time required to complete the day's work was not significantly changed (p = 0.08). There was no apparent effect on the average delay of the start of the day's first case (p = 0.34).
The use of a computerized interactive daily schedule has a positive effect on departmental efficiency by allowing more cases to be performed without lengthening the workday.
通过分析实施计算机交互式每日日程安排前后的手术时间,研究其对繁忙的学术性介入放射学实践中患者护理效率的影响。从部门质量保证数据库中回顾性收集两个相同的6个月期间的手术开始和结束时间,分别代表软件部署前后的时间。比较两个时期首个病例开始的延迟时间、病例之间的间隔时间以及完成每天工作所需的时间。
实施软件后,病例之间的平均延迟时间缩短(p < 0.025)。软件实施后的时间段内完成的病例总数更多,从而产生了更高的工作相对价值单位产出。虽然软件投入使用后每天进行的病例平均数量更多(p < 0.03),但完成当天工作所需的平均时间没有显著变化(p = 0.08)。对当天首个病例开始的平均延迟没有明显影响(p = 0.34)。
使用计算机交互式每日日程安排对科室效率有积极影响,可在不延长工作日的情况下完成更多病例。