手术室交接班策略对周转时间的改善：一项质量改进项目。
Operating room relay strategy for turnover time improvement: a quality improvement project.
机构信息
Department of Anesthesiology and Perioperative Medicine, Medical College of Georgia at Augusta University, Augusta, Georgia, USA
Department of Outcomes Research, Cleveland Clinic, Cleveland, OH, USA.
出版信息
BMJ Open Qual. 2022 Jul;11(3). doi: 10.1136/bmjoq-2022-001957.
INTRODUCTION
Operating room (OR) management plays a pivotal role in the healthcare system due to the high cash flow it yields. Enhancing communication in the OR, which is the common root problem for delays, might improve OR efficiency and revenues for healthcare. This study aims to evaluate the impact of an OR relay strategy on turnover time (TOT).
METHODS
A quality improvement project was conducted. In the intervention group, a certified registered nurse anaesthetist (CRNA) remained outside of the OR, coordinating the steps to get the next patient ready. This CRNA communicated with the anaesthesia providers within the OR via a Microsoft Team chat. The TOT for the control group was recorded from the electronic anaesthesia record system.
RESULTS/DATA ANALYSIS: Analysis of 636 turnovers was performed with non-parametric tests. The OR relay strategy decreased TOT for most ORs, with statistically significant results for three of the ORs and the overall ORs system. A decreased in variability between TOTs was evidenced for the overall OR and the majority of the ORs evaluated individually.
CONCLUSION
The OR relay strategy has a positive impact on TOT.
简介
由于手术室（OR）管理带来的高现金流量，它在医疗保健系统中起着关键作用。改善手术室中的沟通（这是导致延迟的常见根本问题），可能会提高手术室的效率和医疗保健收入。本研究旨在评估手术室接力策略对周转时间（TOT）的影响。
方法
进行了一项质量改进项目。在干预组中，一名认证注册护士麻醉师（CRNA）留在手术室外，协调准备下一位患者的步骤。这名 CRNA 通过 Microsoft Team 聊天与手术室中的麻醉提供者进行沟通。对照组的 TOT 从电子麻醉记录系统中记录。
结果/数据分析：对 636 次交接进行了非参数检验分析。手术室接力策略降低了大多数手术室的 TOT，其中三个手术室和整个手术室系统的结果具有统计学意义。整个手术室和大多数单独评估的手术室的 TOT 之间的变异性降低。
结论
手术室接力策略对 TOT 有积极影响。
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