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[重叠诱导对复杂手术结构利用的影响:基于模拟模型实际应用的评估]

[Effects of overlapping induction on the utilization of complex operating structures: estimation using the practical application of a simulation model].

作者信息

Bercker S, Waschipky R, Hokema F, Brecht W

机构信息

Klinik für Anästhesiologie und Intensivtherapie, Stabsstelle OP-Management, Universitätsklinikum Leipzig, Liebigstr. 20, 04103 Leipzig, Deutschland.

出版信息

Anaesthesist. 2013 Jun;62(6):440-6. doi: 10.1007/s00101-013-2183-9. Epub 2013 Jun 9.

DOI:10.1007/s00101-013-2183-9
PMID:23748417
Abstract

Reduction of costs or increase in efficiency may lead to optimization of cost-effectiveness in operating rooms. Overlapping induction by additional anesthesia teams reduces the changeover time between surgical interventions and, therefore, increases utilization effectiveness of surgical theatres. From an economic point of view overlapping induction should be performed where the highest increase in efficacy and revenues is possible. This article presents a software tool to vary the number of anesthesia teams in different single or clustered operating rooms. Using the example of a university hospital it could be demonstrated that the simulated addition of one anesthesia team to different clusters of operations rooms resulted in an increase of 15-40 % of operations and an increase up to 81 % of utilization effectiveness. Therefore, the presented simulation tool may help to estimate the maximum effect of staff allocation in surgical theatres.

摘要

成本的降低或效率的提高可能会使手术室的成本效益得到优化。额外的麻醉团队重叠诱导可减少手术干预之间的转换时间,从而提高手术科室的利用效率。从经济角度来看,应在能实现最高功效和收入增长的地方进行重叠诱导。本文介绍了一种软件工具,用于改变不同单个或成组手术室中麻醉团队的数量。以一家大学医院为例,可以证明,模拟向不同手术室组增加一个麻醉团队会使手术量增加15% - 40%,利用效率提高高达81%。因此,所介绍的模拟工具可能有助于估计手术科室人员配置的最大效果。

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[Effects of overlapping induction on the utilization of complex operating structures: estimation using the practical application of a simulation model].[重叠诱导对复杂手术结构利用的影响:基于模拟模型实际应用的评估]
Anaesthesist. 2013 Jun;62(6):440-6. doi: 10.1007/s00101-013-2183-9. Epub 2013 Jun 9.
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[Performance development of a university operating room after implementation of a central operating room management].[实施中央手术室管理后某大学手术室的绩效发展]
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本文引用的文献

1
Operational research in the management of the operating theatre: a survey.手术室管理中的运筹学研究:一项调查。
Health Care Manag Sci. 2011 Mar;14(1):89-114. doi: 10.1007/s10729-010-9143-6. Epub 2010 Nov 20.
2
Numbers of simultaneous turnovers calculated from anesthesia or operating room information management system data.根据麻醉或手术室信息管理系统数据计算出的同时周转次数。
Anesth Analg. 2009 Sep;109(3):900-5. doi: 10.1213/ane.0b013e3181b08855.
3
[Economic benefits of overlapping induction: investigation using a computer simulation model].
[重叠诱导的经济效益:使用计算机模拟模型的调查]
Anaesthesist. 2009 Jun;58(6):623-32. doi: 10.1007/s00101-009-1551-y.
4
[Central induction area. Reduction of non-operative time without additional costs].[中枢诱导区。减少非手术时间且无额外费用]
Anaesthesist. 2007 Aug;56(8):812-9. doi: 10.1007/s00101-007-1205-x.
5
Use of anesthesia induction rooms can increase the number of urgent orthopedic cases completed within 7 hours.使用麻醉诱导室可以增加在7小时内完成的紧急骨科病例数量。
Anesthesiology. 2005 Aug;103(2):401-5. doi: 10.1097/00000542-200508000-00024.
6
Overlapping induction of anesthesia: an analysis of benefits and costs.重叠诱导麻醉:效益与成本分析
Anesthesiology. 2005 Aug;103(2):391-400. doi: 10.1097/00000542-200508000-00023.
7
Determining optimum operating room utilization.确定最佳手术室利用率。
Anesth Analg. 2003 Apr;96(4):1114-1121. doi: 10.1213/01.ANE.0000050561.41552.A6.
8
Decrease in case duration required to complete an additional case during regularly scheduled hours in an operating room suite: a computer simulation study.手术室套房在正常排班时间内完成额外一台手术所需病例时长的减少:一项计算机模拟研究
Anesth Analg. 1999 Jan;88(1):72-6. doi: 10.1097/00000539-199901000-00014.
9
Successful strategies for improving operating room efficiency at academic institutions.提高学术机构手术室效率的成功策略。
Anesth Analg. 1998 Apr;86(4):896-906. doi: 10.1097/00000539-199804000-00039.