Gordon T, Paul S, Lyles A, Fountain J
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205.
J Med Syst. 1988 Jun;12(3):169-79. doi: 10.1007/BF00996639.
As health care providers seek ways to reduce the cost of health care services, hospital operating rooms (ORs) have been identified as potential areas for cost reduction efforts. Cost containment efforts which have shifted significant portions of the inpatient population to ambulatory areas have resulted in an inpatient population which is sicker and more procedure-intensive. Efficient management of operating rooms has assumed even greater importance in this environment. Inefficient or inaccurate scheduling of OR time often results in delays of surgery or cancellations of procedures, which are costly to the patient and the hospital. Approaches to efficient use of ORs include computerized scheduling, utilization monitoring, and refinement of scheduling policies and procedures. In the absence of commercially available software to meet operating room management information needs, Johns Hopkins developed its own system in 1983. This software provides detailed information for daily OR management and long-term planning. The computerized operating room scheduling and monitoring system is described in this article and an operational measure of scheduling accuracy is proposed. Suggestions are made for incorporating this measure into planning and allocation decisions.
随着医疗服务提供者寻求降低医疗服务成本的方法，医院手术室已被确定为成本降低努力的潜在领域。将大量住院患者转移到门诊区域的成本控制措施导致住院患者病情更严重且手术密集程度更高。在这种环境下，手术室的高效管理变得更加重要。手术室时间安排效率低下或不准确往往会导致手术延迟或手术取消，这对患者和医院来说成本高昂。有效利用手术室的方法包括计算机化调度、利用情况监测以及调度政策和程序的完善。由于缺乏满足手术室管理信息需求的商业软件，约翰·霍普金斯大学在1983年开发了自己的系统。该软件为手术室的日常管理和长期规划提供详细信息。本文描述了计算机化手术室调度和监测系统，并提出了调度准确性的一项操作指标。文中还就将该指标纳入规划和分配决策提出了建议。
