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本文引用的文献

1
The Association of Anesthesia Clinical Directors (AACD) Glossary of Times Used for Scheduling and Monitoring of Diagnostic and Therapeutic Procedures.麻醉临床主任协会（AACD）用于安排和监测诊断和治疗程序的时间词汇表。
J Med Syst. 2018 Aug 10;42(9):171. doi: 10.1007/s10916-018-1022-6.
2
The 39th international conference of the EURO working group on operational research applied to health services: ORAHS 2013 special issue.欧洲运筹学应用于卫生服务工作组第39届国际会议：2013年卫生服务运筹学应用（OR AHS）特刊
Health Care Manag Sci. 2015 Sep;18(3):219-21. doi: 10.1007/s10729-015-9322-6. Epub 2015 Mar 31.
3
An audit of operating room time utilization in a teaching hospital: is there a place for improvement?教学医院手术室时间利用情况审计：是否存在改进空间？
ISRN Surg. 2014 Mar 13;2014:431740. doi: 10.1155/2014/431740. eCollection 2014.
4
Improving operating theatre efficiency in South Africa.提高南非手术室的效率。
S Afr Med J. 2011 Jun 27;101(7):444, 446, 448.
5
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.
6
Reasons for cancellation of cases on the day of surgery-a prospective study.手术当日取消手术病例的原因——一项前瞻性研究。
Indian J Anaesth. 2009 Feb;53(1):35-9.
7
Optimization of surgery sequencing and scheduling decisions under uncertainty.不确定性下手术排序与调度决策的优化
Health Care Manag Sci. 2007 Feb;10(1):13-24. doi: 10.1007/s10729-006-9005-4.
8
Are your hospital operating rooms "efficient"? A scoring system with eight performance indicators.您医院的手术室“高效”吗？一个具有八项绩效指标的评分系统。
Anesthesiology. 2006 Aug;105(2):237-40. doi: 10.1097/00000542-200608000-00004.
9
Cancellation of operations on the day of intended surgery at a major Australian referral hospital.澳大利亚一家大型转诊医院预定手术当天手术取消的情况。
Med J Aust. 2005 Jun 20;182(12):612-5. doi: 10.5694/j.1326-5377.2005.tb06846.x.
10
Audit of operation theatre utilization in general surgery.普通外科手术室使用情况审计
Natl Med J India. 2000 May-Jun;13(3):118-21.

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.

DOI:10.7759/cureus.83671
PMID:40486376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12143747/
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。