Strum D P, Vargas L G, May J H, Bashein G
Department of Anesthesiology, University of Arkansas, Little Rock 72205, USA.
J Med Syst. 1997 Oct;21(5):309-22. doi: 10.1023/a:1022824725691.
In this paper, we are concerned with cost reduction, operating suite utilization, and capacity planning in surgical services. We studied 58,251 computerized surgical records from a teaching hospital to determine a model for measuring operating suite utilization, analyzing the quality of surgical schedules, and allocating surgical suite budgets (capacity planning). The classical definition of operating suite (OR) utilization, encountered in the literature is the ratio of the total OR time used to the total OR time allocated or budgeted. To create a better measure of utilization, we measured underutilization and overutilization providing a more complete description of the overall use of resources. Because the costs of under and overutilization of operating suites are high, they are attractive potential targets for cost minimization and the magnitude of the potential savings are such that attempts to measure and eliminate this inefficiency could be financially rewarding.
在本文中，我们关注外科手术服务中的成本降低、手术室利用率以及容量规划。我们研究了一家教学医院的58251份计算机化手术记录，以确定一个用于衡量手术室利用率、分析手术安排质量以及分配手术室预算（容量规划）的模型。文献中提到的手术室（OR）利用率的经典定义是所用总OR时间与分配或预算的总OR时间之比。为了更好地衡量利用率，我们对未充分利用和过度利用情况进行了测量，从而更全面地描述资源的整体使用情况。由于手术室未充分利用和过度利用的成本很高，它们是成本最小化的有吸引力的潜在目标，而且潜在节省的规模很大，以至于试图衡量并消除这种低效率在财务上可能会有回报。
