Improving First Case Operating Room Efficiency.

IF 0.9 4区 医学 Q4 HEALTH CARE SCIENCES & SERVICES Journal for Healthcare Quality Pub Date : 2024-07-01 Epub Date: 2024-04-30 DOI:10.1097/JHQ.0000000000000433
Rebecca Afford, Megan Chan, Rana Garelnabi, Fariba Haji Ali Akbari, Sam M Wiseman
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引用次数: 0

Abstract

Introduction: Improving transition to the operating room (OR) can enhance healthcare efficiency. Our aim was to determine whether adopting a communication board (CB) for first case surgical patients reduced delays to OR.

Methods: A retrospective observational study was conducted from April to October 2021. We calculated differences in surgical daycare (SDC) departure time before and after implementation of the CB, differences in departure whether the CB was used or not, delay in variability between surgical specialties, and overall adoption of the CB.

Results: After CB adoption, 13% of first cases left SDC by predefined target times. The mean delay in transfer was 18:51 minutes. When the CB was used, cases were on average 10:43 late, compared with 26:00 when it was not used. Otolaryngology had the shortest delays while plastic surgery had the longest. Reasons for delays included staffing delays, holds, and pending laboratory results.

Conclusions: Introducing a CB significantly reduced delays in transferring first case surgical patients from SDC to the OR.

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提高首例手术室的效率。
导言:改善手术室(OR)的过渡可以提高医疗效率。我们的目的是确定对首例手术患者采用交流板(CB)是否能减少手术室的延误:我们在 2021 年 4 月至 10 月期间进行了一项回顾性观察研究。我们计算了实施 CB 前后外科日间护理(SDC)出发时间的差异、是否使用 CB 的出发时间差异、外科专科之间的延迟差异以及 CB 的总体采用情况:采用 CB 后,13% 的首例患者在预定目标时间前离开 SDC。转运的平均延迟时间为 18:51 分钟。使用 CB 时,病例平均延迟 10:43 分钟,而未使用 CB 时,病例平均延迟 26:00 分钟。耳鼻喉科的延误时间最短,而整形外科的延误时间最长。延误的原因包括人员延误、搁置和等待化验结果:采用 CB 大幅减少了将首例手术患者从 SDC 转移到手术室的延迟时间。
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来源期刊
Journal for Healthcare Quality
Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-
CiteScore
2.10
自引率
0.00%
发文量
59
期刊介绍: The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform
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