Department of Surgery, University of Virginia Health System, Charlottesville, Virginia.
Department of Anesthesiology, University of Virginia Health System, Charlottesville, Virginia.
J Surg Res. 2021 Aug;264:129-137. doi: 10.1016/j.jss.2021.02.009. Epub 2021 Apr 5.
Operating room (OR) efficiency, often measured by first case on-time start (FCOTS) percentage, is an important driver of perioperative team morale and the financial success of a hospital.
In this quasi-experimental study of elective surgical procedures at a single tertiary academic hospital, an intervention requiring attending surgeon attestation of availability via SMS text message or identification badge swipe was implemented. Key measures of OR efficiency were compared before and after the change.
FCOTS percentage increased from 61.6% to 66.9% after the intervention (P = 0.01). After adjusting for patient and procedural characteristics, postintervention period remained associated with an increased odds of an on-time start (odds ratio 1.29, P = 0.01). Additionally, procedural start times from the pre- to postintervention period were significantly improved (-0.08 min/day, P = 0.009).
Implementation of an attending surgeon text or badge sign-in process was associated with improved FCOTS percentage and earlier procedure start times.
手术室（OR）效率通常通过第一例按时开始（FCOTS）的百分比来衡量，这是影响手术团队士气和医院财务成功的重要因素。
在对一家三级学术医院的择期手术进行的这项类实验研究中，实施了一项干预措施，要求主治外科医生通过短信或识别徽章刷卡确认可用性。在干预前后比较了手术室效率的关键指标。
干预后 FCOTS 百分比从 61.6%增加到 66.9%（P=0.01）。在调整了患者和手术特点后，干预后时间段与按时开始的可能性增加相关（优势比 1.29，P=0.01）。此外，从干预前到干预后，手术开始时间显著提前（-0.08 分钟/天，P=0.009）。
实施主治外科医生短信或徽章签到程序与提高 FCOTS 百分比和更早的手术开始时间有关。
