Price Michael, Bates Anne, Clagett Michael
AORN J. 2018 Dec;108(6):652-660. doi: 10.1002/aorn.12401.
After an evaluation of the growing robotics program at Christiana Care Health System in Newark, Delaware, perioperative leaders identified needs related to a lack of instrument set standardization and inconsistent workflow processes; these deficiencies were causing higher-than-anticipated turnaround time (ie, 59 minutes) and an excessive inventory of sterilized robotic instruments. A workgroup was created to review the results of the evaluation and develop solutions for the robotic surgery program. Goals included a 40-minute procedure turnaround time and a 35% reduction in sterilized robotic instrument set inventory one year after project initiation. By developing a team training program, improving operational efficiencies, and improving standardization, the robotics program achieved a 10-minute TAT reduction and a 54% reduction in sterilized robotic instrument inventory. Personnel considered the project to be a huge success because it laid the groundwork for improving efficiency and standardization in Christiana Care Health System's robotics program.
在对特拉华州纽瓦克市克里斯蒂安娜护理健康系统不断发展的机器人手术项目进行评估后，围手术期的负责人发现了与器械套装缺乏标准化以及工作流程不一致相关的问题；这些缺陷导致周转时间高于预期（即59分钟），并且消毒后的机器人手术器械库存过多。于是成立了一个工作组来审查评估结果，并为机器人手术项目制定解决方案。目标包括在项目启动一年后将手术周转时间缩短至40分钟，并将消毒后的机器人手术器械套装库存减少35%。通过制定团队培训计划、提高运营效率和加强标准化，机器人手术项目实现了周转时间缩短10分钟，消毒后的机器人手术器械库存减少54%。工作人员认为该项目取得了巨大成功，因为它为提高克里斯蒂安娜护理健康系统机器人手术项目的效率和标准化奠定了基础。
