Sweetnam D I, Williams J R, Britton D C
Royal United Hospital, Bath.
Ann R Coll Surg Engl. 1994 Mar;76(2 Suppl):56-8.
The recent introduction of a 24-hour emergency theatre for General Surgery provided an opportunity to audit its effect on emergency operating in a District General Hospital. Prior to its introduction much of the emergency operating was determined by theatre availability rather than clinical need. Half of the emergency operations were carried out between 10 pm and 8 am. This proportion was reduced to a third when a theatre was continually available. This had benefits for the patients in reducing their waiting time and also for the junior surgeons by increasing their sleep. A survey of the Region indicated that very few hospitals provided adequate emergency theatre facilities.
近期为普通外科引入的24小时急诊手术室，为评估其对一家地区综合医院急诊手术的影响提供了契机。在引入该手术室之前，许多急诊手术是由手术室的可用情况而非临床需求决定的。一半的急诊手术在晚上10点至早上8点之间进行。当有一间手术室持续可用时，这一比例降至三分之一。这对患者减少等待时间有益，对初级外科医生增加睡眠时间也有益。对该地区的一项调查表明，很少有医院提供足够的急诊手术室设施。
