专门用于急诊手术的手术室利用率更高，加班时间更少，取消手术的情况也更少。

Dedicated operating room for emergency surgery generates more utilization, less overtime, and less cancellations.

作者信息

van Veen-Berkx Elizabeth, Elkhuizen Sylvia G, Kuijper Bart, Kazemier Geert

机构信息

Department of Operating Rooms, Erasmus University Medical Center Rotterdam, s-Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands.

Department of Health Care Logistics, Institute for Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands.

出版信息

Am J Surg. 2016 Jan;211(1):122-8. doi: 10.1016/j.amjsurg.2015.06.021. Epub 2015 Aug 12.

DOI:10.1016/j.amjsurg.2015.06.021

PMID:26342842

Abstract

BACKGROUND

Two approaches prevail for reserving operating room (OR) capacity for emergency surgery: (1) dedicated emergency ORs and (2) evenly allocating capacity to all elective ORs, thereby creating a virtual emergency team. Previous studies contradict which approach leads to the best performance in OR utilization.

METHODS

Quasi-experimental controlled time-series design with empirical data from 3 university medical centers. Four different time periods were compared with analysis of variance with contrasts.

RESULTS

Performance was measured based on 467,522 surgical cases. After closing the dedicated emergency OR, utilization slightly increased; overtime also increased. This was in contrast to earlier simulated results. The 2 control centers, maintaining a dedicated emergency OR, showed a higher increase in utilization and a decrease in overtime, along with a smaller ratio of case cancellations because of emergency surgery.

CONCLUSION

This study shows that in daily practice a dedicated emergency OR is the preferred approach in performance terms regarding utilization, overtime, and case cancellations.

摘要