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手术室时间利用情况及导致择期手术延迟的因素分析

Analysis of Time Utilization in the Operating Theater and Factors Contributing to Delays in Scheduled Surgeries.

作者信息

Awais Ghina, Rai Lajpat, Naqi Ali, Ahmed Ihsan, Asif Shahzad, Aamir Aiman, Gulzar Sidra, Lodhi Nazia, Shamsi Ghina, Siddiqui Sheeraz S

机构信息

Department of General Surgery, Indus Hospital & Health Network, Karachi, PAK.

Department of General Surgery, Wrexham Maelor Hospital, Wrexham, GBR.

出版信息

Cureus. 2025 May 7;17(5):e83671. doi: 10.7759/cureus.83671. eCollection 2025 May.

Abstract

INTRODUCTION

The operation theater (OT) is a significant expenditure in hospital budgets, necessitating maximum utilization for optimal cost efficiency. This study aims to determine the percentage of raw utilization time of general surgical theaters at Indus Hospital, Karachi.

OBJECTIVE

The objective of this study is to assess the raw utilization percentage of the general surgery OT.

MATERIALS AND METHODS

The cross-sectional study was conducted between February 20, 2022, and August 25, 2022 at the Department of General Surgery, the Indus Hospital, Karachi. All elective surgical procedures performed between 08:00 AM and 05:00 PM that met the inclusion criteria were analyzed. Raw utilization time was calculated from the collected data.

RESULTS

The majority of patients were female (62.7%). The raw utilization time was 83.8%. The most common reasons for discrepancies between actual and projected procedure times were technical difficulties (26.6%), equipment-related issues (16.7%), and staff shortages (2.6%).

CONCLUSION

This study identifies avoidable factors contributing to discrepancies in procedure timing. Improved communication among surgeons, anesthesiologists, and nursing staff prior to surgeries could help mitigate delays.

摘要

引言

手术室是医院预算中的一项重大开支,需要最大限度地利用以实现最佳成本效益。本研究旨在确定卡拉奇印度河医院普通外科手术室的原始使用时间百分比。

目的

本研究的目的是评估普通外科手术室的原始使用率。

材料与方法

本横断面研究于2022年2月20日至2022年8月25日在卡拉奇印度河医院普通外科进行。对上午8:00至下午5:00之间进行的所有符合纳入标准的择期手术进行分析。根据收集的数据计算原始使用时间。

结果

大多数患者为女性(62.7%)。原始使用时间为83.8%。实际手术时间与预计手术时间存在差异的最常见原因是技术困难(26.6%)、设备相关问题(16.7%)和人员短缺(2.6%)。

结论

本研究确定了导致手术时间差异的可避免因素。术前外科医生、麻醉师和护理人员之间加强沟通有助于减少延误。

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Operational research in the management of the operating theatre: a survey.手术室管理中的运筹学研究:一项调查。
Health Care Manag Sci. 2011 Mar;14(1):89-114. doi: 10.1007/s10729-010-9143-6. Epub 2010 Nov 20.

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