Vladu Adriana, Ghitea Timea Claudia, Daina Lucia Georgeta, Țîrț Dorel Petru, Daina Mădălina Diana
Faculty of Medicine and Pharmacy, Doctoral School, University of Oradea, 1 December Sq., 410081 Oradea, Romania.
Pharmacy Department, Faculty of Medicine and Pharmacy, University of Oradea, 1 December Sq., 410081 Oradea, Romania.
Healthcare (Basel). 2024 Sep 24;12(19):1906. doi: 10.3390/healthcare12191906.
Operating room (OR) efficiency is a critical factor in healthcare delivery, influenced by various components including surgical duration, room turnover, staff availability, and equipment preparation. Optimizing surgical start times through systematic strategies such as computational algorithms can significantly enhance OR utilization and management. This study aimed to improve OR efficiency by effectively managing and optimizing surgical start times using a computational algorithm designed to allocate resources more efficiently. A comparative analysis was conducted over two six-month periods from January to June 2023 and January to June 2024, with an improvement phase implemented between July and December 2023. These measures encompassed training surgical personnel, strengthening the medical team, revising work procedures and hospital regulations, and the integration of a computational algorithm to better schedule and manage surgical interventions. Following the implementation of these comprehensive measures, enhanced management of surgical start times was observed. A statistically significant increase in surgical interventions between 8 and 10 a.m. was noted for the entire OR, rising from 28.65% to 32.13%. While OR occupancy between 8 and 12 a.m. increased from 63.91% to 73.30%, this difference was not statistically significant. However, a notable improvement in average occupancy between 9 and 11 a.m. was observed, rising from 87.53% to 98.07%. The introduction of computational algorithms significantly improved operating room efficiency, particularly in managing surgical start times. Additionally, team coordination improved as a result of more structured scheduling processes. The results indicate that effective management of surgical start times, especially when enhanced by computational algorithms, can positively impact OR utilization, particularly within specific time blocks.
手术室效率是医疗服务中的一个关键因素,受到多种因素的影响,包括手术时长、房间周转、人员配备以及设备准备。通过计算算法等系统策略优化手术开始时间,可以显著提高手术室的利用率和管理水平。本研究旨在通过使用一种旨在更高效分配资源的计算算法,有效管理和优化手术开始时间,从而提高手术室效率。在2023年1月至6月以及2024年1月至6月的两个六个月期间进行了对比分析,在2023年7月至12月实施了改进阶段。这些措施包括培训手术人员、加强医疗团队、修订工作程序和医院规定,以及整合计算算法以更好地安排和管理手术干预。实施这些综合措施后,观察到手术开始时间的管理得到了加强。整个手术室上午8点至10点的手术干预量有统计学意义的增加,从28.65%升至32.13%。虽然上午8点至12点的手术室占用率从63.91%增至73.30%,但这一差异无统计学意义。然而,观察到上午9点至11点的平均占用率有显著改善,从87.53%升至98.07%。计算算法的引入显著提高了手术室效率,尤其是在管理手术开始时间方面。此外,由于安排流程更加结构化,团队协作也得到了改善。结果表明,有效管理手术开始时间,特别是在计算算法的助力下,可以对手术室利用率产生积极影响,尤其是在特定时间段内。