Efficiency of an endoscopy suite in a teaching hospital: delays, prolonged procedures, and hospital waiting times
Efficiency of an endoscopy suite in a teaching hospital: delays, prolonged procedures, and hospital waiting times
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教学医院内窥镜检查室的效率：延误、手术时间延长和医院等待时间
DOI：
10.1016/j.gie.2006.02.047
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发表时间：
2006-11-01
影响因子：
7.7
通讯作者：
Rabeneck, Linda
中科院分区：
文献类型：
--
作者：
Yong, Elaine;Zenkova, Olga;Rabeneck, Linda
背景：结肠镜检查筛查需求的增加需要提高内窥镜检查单位的效率，特别是更有效地利用现有资源。本研究的目的是评估一家大型三级护理教学医院内窥镜检查室的效率。目的：评估一家大型三级护理教学医院内窥镜检查室的效率。设计：2003 年 5 月 16 日至 9 月 5 日的前瞻性研究。设置：一家拥有 650 个床位的急症护理教学医院的内窥镜检查室。患者：住院和门诊手术。主要结果测量：内窥镜检查之间经过的时间程序；程序的持续时间；手术延迟（手术之间 > 15 分钟）及其原因。 结果：研究助理观察了 625 名患者（207 名住院患者 [33%]）进行的 675 例内窥镜手术。最常见的手术是结肠镜检查（42.1%），其次是EGD（36.0%）。总体而言，625 名患者中有 193 名 (30.9%) 的手术被延迟（手术之间间隔 > 15 分钟），其中 70.5% (136/193) 是因为医生无法开始手术。 193 例延迟手术中，有 47 例 (24.4%) 的手术间隔时间超过 30 分钟。约 22% (130/593) 的手术时间延长。结论：医生缺席导致内窥镜手术的严重延误。减少程序延误的策略可能会对单位执行的程序量产生有利影响，从而改善现有资源的使用。我们鼓励其他团体评估其医院内窥镜检查单位的效率。
Background: Increased demand for screening colonoscopy necessitates improved efficiency in endoscopy units, especially more efficient use of existing resources. The purpose of this study was to assess the efficiency of the endoscopy unit of a large tertiary care teaching hospital.Objective: To assess the efficiency of the endoscopy unit in a large tertiary care teaching hospital.Design: Prospective study from May 16 to September 5, 2003.Setting: Endoscopy unit of a 650-bed acute care teaching hospital.Patients: Inpatient and outpatient procedures.Main Outcome Measurements: Time elapsed between endoscopic procedures; the duration of the procedures; procedure delays (> 15 minutes between procedures) and the reasons for them.Results: The research assistant observed 675 endoscopic procedures done for 625 patients (207 inpatients [33%]). The most common procedure was colonoscopy (42.1%), followed by EGD (36.0%). Overall, procedures for 193 (30.9%) of the 625 patients were delayed (> 15 minutes between procedures), 70.5% (136/193) because the physician was not available to start the procedure. The time elapsed between procedures was longer than 30 minutes for 47 of the 193 delayed procedures (24.4%). The duration of procedures was prolonged for about 22% (130/593) of procedures.Conclusions: Physician unavailability contributed to considerable delays in endoscopic procedures. Strategies to reduce procedure delays could have a favorable impact on the volume of procedures performed in the unit, thereby improving the use of existing resources. We encourage other groups to assess the efficiency of their hospital-based endoscopy units.