Hiroshige Karina, Ferrer Alyssa, Chi Stephanie, Steineke Brittany, Hersch David, Goldbeck Jessica, Stiles Megan, Azeez Devina Adam, Tuzzolo Karen, Reisert Dolores, Fitzpatrick Maureen, Trindade Arvind J
Administration, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States.
Department of Anesthesia, Long Island Jewish Medical Center, Zucker School of Medicine at Hofstra/Northwell, Northwell Health System, New Hyde Park, New York, United States.
Endosc Int Open. 2022 Jun 10;10(6):E769-E775. doi: 10.1055/a-1804-0094. eCollection 2022 Jun.
First case start (FCS) time is often a key metric used to gauge efficiency in an endoscopy suite. There are limited data on tools and methods to improve the FCS time in the endoscopy suite. A prospective observational cohort study was conducted in an academic tertiary care endoscopy suite examining the effect of badge sign-in (Period 2) and badge sign-in coupled with report cards (Period 3) compared to an initial observational period (Period 1). After the badge sign-in reader was introduced in P2, the unit experienced a mean time savings of 5 ± 18 minutes in FCS delays compared to P1 ( = .03). In P3, an 8 ± 17-minute time savings in FCS time delay was observed compared to P1 ( = 0.0006). Sign-in compliance significantly increased for the overall unit between P2 and P3 (49 % vs. 59 %, = .002). Increases in first case on-time start (FCOTS) rates compared to P1 were observed for the unit, with a 14% absolute increase in P2 ( < .0001) and a 17 % absolute increase in P3 ( < .0001). FCS delays for on-time badge sign-ins were significantly lower compared to FCS delays for missed badge sign-ins and late badge sign-ins ( < .0001). The use of badge sign-in and report cards improve endoscopy unit efficiency as it can increase FCOTS rates and decrease FCS time delays.
首例开始（FCS）时间通常是衡量内镜检查室效率的关键指标。关于改善内镜检查室FCS时间的工具和方法的数据有限。在一家学术性三级医疗内镜检查室进行了一项前瞻性观察队列研究，比较了身份识别卡签到（第2阶段）以及身份识别卡签到与报告卡相结合（第3阶段）与初始观察期（第1阶段）的效果。在第2阶段引入身份识别卡签到读卡器后，与第1阶段相比，该科室的FCS延迟平均节省了5±18分钟（P = 0.03）。在第3阶段，与第1阶段相比，观察到FCS时间延迟节省了8±17分钟（P = 0.0006）。在第2阶段和第3阶段之间，整个科室的签到合规率显著提高（49%对59%，P = 0.002）。与第1阶段相比，该科室的首例准时开始（FCOTS）率有所提高，在第2阶段绝对提高了14%（P < 0.0001），在第3阶段绝对提高了17%（P < 0.0001）。准时身份识别卡签到的FCS延迟显著低于未签到和迟到签到的FCS延迟（P < 0.0001）。使用身份识别卡签到和报告卡可提高内镜检查室的效率，因为它可以提高FCOTS率并减少FCS时间延迟。
