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专设骨科创伤病房模式:采用新的护理标准。

The Dedicated Orthopaedic Trauma Room Model: Adopting a New Standard of Care.

机构信息

Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio.

National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, Maryland.

出版信息

J Bone Joint Surg Am. 2019 Nov 20;101(22):e120. doi: 10.2106/JBJS.19.00352.

DOI:10.2106/JBJS.19.00352
PMID:31764372
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7001767/
Abstract

The dedicated orthopaedic trauma room (DOTR) has emerged over the last decade as an effective approach to improving workflow while reducing the complications and costs that are associated with musculoskeletal trauma care. We surveyed the top 20 hospitals in the United States and found that 14 (70%) utilize a DOTR. Coupled with recent data on improved outcomes and patient flow, we see evidence that the availability of a DOTR has become a best practice for orthopaedic trauma care.

摘要

在过去的十年中,专门的骨科创伤室(DOTR)已成为一种有效的方法,可以提高工作流程效率,同时减少与肌肉骨骼创伤护理相关的并发症和成本。我们调查了美国排名前 20 的医院,发现其中 14 家(70%)使用了 DOTR。结合最近关于改善结果和患者流程的数据,我们可以看到 DOTR 的可用性已成为骨科创伤护理的最佳实践。

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本文引用的文献

1
Effectiveness of a Model Bundle Payment Initiative for Femur Fracture Patients.股骨骨折患者模型捆绑支付计划的效果。
J Orthop Trauma. 2018 Sep;32(9):439-444. doi: 10.1097/BOT.0000000000001229.
2
Use of the Dedicated Orthopaedic Trauma Room for Open Tibia and Femur Fractures: Does It Make a Difference?专用骨科创伤室在开放性胫骨和股骨骨折中的应用:有区别吗?
J Orthop Trauma. 2018 Aug;32(8):377-380. doi: 10.1097/BOT.0000000000001232.
3
A Dedicated Satellite Trauma Orthopaedic Program Operating Room Safely Increases Capacity.专门的卫星创伤矫形手术间安全地增加了容量。
J Bone Joint Surg Am. 2018 May 16;100(10):e70. doi: 10.2106/JBJS.17.01368.
4
Potential impact of Affordable Care Act-related insurance expansion on trauma care reimbursement.《平价医疗法案》相关保险扩张对创伤护理报销的潜在影响。
J Trauma Acute Care Surg. 2017 May;82(5):887-895. doi: 10.1097/TA.0000000000001400.
5
A Dedicated Orthopaedic Trauma Operating Room Improves Efficiency at a Pediatric Center.一个专门的骨科创伤手术室提高了一家儿科中心的效率。
J Bone Joint Surg Am. 2017 Jan 4;99(1):42-47. doi: 10.2106/JBJS.16.00640.
6
Operating room efficiency: benefits of an orthopaedic traumatologist at a level II trauma center.手术室效率:二级创伤中心矫形创伤医生的获益。
J Orthop Trauma. 2014 May;28(5):e101-6. doi: 10.1097/BOT.0b013e3182a59d6b.
7
Should sleep-deprived surgeons be prohibited from operating without patients' consent?睡眠不足的外科医生在未经患者同意的情况下应被禁止做手术吗?
Ann Thorac Surg. 2013 Feb;95(2):757-66. doi: 10.1016/j.athoracsur.2012.11.052.
8
The answer is 17 years, what is the question: understanding time lags in translational research.答案是 17 年,问题是:理解转化研究中的时间滞后。
J R Soc Med. 2011 Dec;104(12):510-20. doi: 10.1258/jrsm.2011.110180.
9
The dedicated orthopedic trauma operating room.专用的骨科创伤手术室。
J Trauma. 2011 Aug;71(2):513-5. doi: 10.1097/TA.0b013e3182245d30.
10
Does late night hip surgery affect outcome?深夜进行髋关节手术会影响手术结果吗?
J Trauma. 2011 Aug;71(2):447-53; discussion 453. doi: 10.1097/TA.0b013e3182231ad7.