Ngu Jenny Cao
University of California at San Francisco Medical Center, USA.
AORN J. 2010 Oct;92(4):425-35. doi: 10.1016/j.aorn.2009.12.033.
Staff members in the arthroplastic surgery service at University of California San Francisco Medical Center initiated an multidisciplinary OR efficiency project at the request of the facility's chief executive officer and an arthroplastic surgeon. Elements of the program included forming a consistent team, updating preference cards, starting anesthesia care earlier in the day, working with sterile processing department personnel to improve case cart delivery, improving the turnover routine, and reducing and planning for surgery cancellations. Since the project began in 2004, the surgeon has been able to double his procedure volume in the same amount of time. The surgical team and the program have become an example for the medical center and have influenced the OR culture to focus on efficiency, quality, and accountability.
加利福尼亚大学旧金山分校医学中心关节置换手术科室的工作人员应医院首席执行官和一位关节置换外科医生的要求，发起了一个多学科手术室效率项目。该项目的内容包括组建固定团队、更新手术优先卡、提前开始麻醉护理、与无菌处理部门人员合作改善手术器械车配送、改进周转流程以及减少并规划手术取消情况。自2004年该项目启动以来，这位外科医生能够在相同时间内将手术量翻倍。手术团队和这个项目已成为医学中心的典范，并影响了手术室文化，使其注重效率、质量和问责制。
