Operating room efficiency and hospital capacity: Factors affecting operating room use during maximum hospital census
Operating room efficiency and hospital capacity: Factors affecting operating room use during maximum hospital census
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DOI：
10.1016/j.jamcollsurg.2007.01.052
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发表时间：
2007-05-01
影响因子：
5.2
通讯作者：
Hanks, John B.
中科院分区：
文献类型：
--
作者：
McGowan, James E.;Truwit, Jonathon D.;Hanks, John B.
背景：学术医疗中心面临着日益增加的数量，更高的敏锐度，因此，容量问题。这些影响手术室（OR）的使用和患者吞吐量，对财务以及患者和医生的满意度产生负面影响。我们评估了我们的经验，在处理或效率在一个时间的最大医院容量和occupation.Study设计：使用多学科的方法，我们把七个商定的战略：日常沟通，改善床位规划，出院中午计划，内部人员库，特殊任务的病人过渡单位，奖励，并加强了环境服务。在制定这些策略后，我们能够实现手术室患者数量增加8%，手术室保留减少37%。这导致取消手术病例从4.3%下降到3.1%.CONCLUSIONS：学术医疗中心面临的占用问题不太可能消失，并将对手术室容量和生产力产生影响。为了在短期内改善这一状况，需要采取涉及若干战略的多学科办法。
BACKGROUND: Academic medical centers are faced with increasing volumes, higher acuity, and, as a consequence, capacity issues. These affect operating room (OR) use and patient throughput, with negative impact on finances and patient and physician satisfaction. We evaluated our experiences in dealing with OR efficiency at a time of maximum hospital capacity and occupancy.STUDY DESIGN: Using a to multidisciplinary approach, we put in place seven agreed-upon strategies: daily communication, improved bed planning, discharge by noon program, internal staffing pool, special assignments for a patient transition unit, incentives, and stepped up environmental services.RESULTS: After institution of these strategies, we were able to realize a gain in OR patient volume of 8% and a decrease in OR holds of 37%. This resulted in a decrease in cancelled OR cases from 4.3% to 3.1%.CONCLUSIONS: Academic medical centers face occupancy issues that are not likely to go away and will have an impact on OR volume and productivity. To improve the situation in a short-term fashion, a multidisciplinary approach involving several strategies will be needed.