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Published on: January 27, 2010
Application of the ORTCC Model in Anesthesia Recovery Management for Painless Gastrointestinal Endoscopy: A
Lingling Xu1, Ying Du1, Zhuanyun Zhang1
1Department of Anesthesiology, Nanjing Drum Tower Hospital, Affiliated with Nanjing University, Nanjing 210008, China.
Purpose:
To evaluate the effectiveness of an anesthesia recovery management model based on the ORTCC framework in patients undergoing painless gastrointestinal endoscopy.
Design:
In August 2023, our hospital implemented an anesthesia recovery management model structured around the ORTCC model-comprising five components: Objective, Rules, Training, Check, and Culture. After a one-month pilot period, a total of 1000 patients were enrolled using a pre-post quasi-experimental design.
Methods:
Five hundred patients who underwent endoscopy before the implementation formed the control group (conventional care), while 500 patients treated afterward constituted the intervention group, receiving care under the ORTCC-based recovery model. Recovery time, incidence of anesthesia-related complications, frequency of nursing adverse events, and patient satisfaction were measured and compared between groups.
Findings:
Compared to the control group, the intervention group demonstrated significantly shorter anesthesia recovery times, lower rates of anesthesia-related complications and nursing adverse events, and higher levels of patient satisfaction (P < 0.05).
Conclusions:
The implementation of an ORTCC-based anesthesia recovery management model in patients undergoing painless gastrointestinal endoscopy was associated with enhanced recovery efficiency, reduced complication rates, and improved care safety. By integrating structured objectives, standardized rules and workflows, targeted training, performance assessment, and a culture of quality, this model provides a replicable framework for improving perioperative nursing outcomes and patient-centered care in ambulatory surgical settings.
