Parkland Hospital and the University of Texas Southwestern Department of Surgery, Dallas, TX, USA.
The University of Texas Medical Branch, Galveston, TX, USA.
Am J Surg. 2019 Nov;218(5):809-812. doi: 10.1016/j.amjsurg.2019.04.017. Epub 2019 Apr 27.
Ambulatory surgery centers (ASCs) are frequently utilized; however some ambulatory procedures may be performed in hospital outpatient departments (HOPs). Our aim was to compare operating room efficiency between our ASC and HOP.
We reviewed outpatient general surgery procedures performed at our ASC and HOP. Total case time was divided into five components: ancillary time, procedure time, exit time, turnover time, and nonoperative time.
Overall, 220 procedures were included (114 ASC, 106 HOP). Expressed in minutes, the mean turnover time (29.8 ± 9.6 vs. 24.5 ± 12.7; p < 0.01), ancillary time (32.2 ± 7.0 vs. 22.2 ± 4.5; p < 0.01), procedure time (77.4 ± 44.9 vs. 56.2 ± 23.0 p < 0.01), exit time (11.8 ± 4.4 vs. 8.5 ± 4.3; p < 0.01), and nonoperative time (62.9 ± 21.9 vs. 48.7 ± 15.0; p < 0.01) were longer at the HOP than at the ASC.
ASC outpatient procedures are more efficient than those performed at our HOP. A system evaluation of our HOP operating room efficiency is necessary.
日间手术中心（ASC）经常被使用，但一些日间手术也可以在医院门诊部门（HOP）进行。我们的目的是比较 ASC 和 HOP 的手术室效率。
我们回顾了在 ASC 和 HOP 进行的普通外科门诊手术。总手术时间分为五个部分：辅助时间、手术时间、出口时间、周转时间和非手术时间。
总共包括 220 例手术（114 例 ASC，106 例 HOP）。以分钟表示，平均周转时间（29.8±9.6 比 24.5±12.7；p<0.01）、辅助时间（32.2±7.0 比 22.2±4.5；p<0.01）、手术时间（77.4±44.9 比 56.2±23.0；p<0.01）、出口时间（11.8±4.4 比 8.5±4.3；p<0.01）和非手术时间（62.9±21.9 比 48.7±15.0；p<0.01）在 HOP 比 ASC 更长。
ASC 门诊手术比在 HOP 进行的手术效率更高。需要对我们 HOP 手术室的效率进行系统评估。
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