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早期手术室启动时间在儿童创伤管理中的有效性

Dan Kym¹, Japsimran Kaur¹, Nicole Segovia Pham¹

¹Department of Orthopaedic Surgery, Stanford University School of Medicine, Palo Alto, CA 94304, United States.

World journal of orthopedics

|July 24, 2023

概括

一个早期的手术室启动计划将儿科上骨骨折 (SCHF) 手术的等待时间减少了35.4%. 然而,员工的不满导致了该计划的中止,突出了利益相关方参与的必要性.

科学领域:

儿科整形外科儿科整形外科
创伤外科手术创伤外科
操作室管理操作室管理

背景情况:

对于手术治疗儿科上骨骨折 (SCHF) 和大腿骨轴骨折 (FSF) 的最佳时间进行辩论.
紧急的夜间骨折需要决定立即OR动员与延迟的选择性手术.

研究的目的:

评估早期手术室 (OR) 启动程序,用于不复杂的夜间创伤.
评估该计划对紧急儿科骨折手术等待时间的影响.

主要方法:

在21:00至05:00之间入院的创伤患者实施早期OR开始.
在计划实施之前和之后的SCHF和FSF处理时间的比较.
手术团队调查以衡量计划的有效性和满意度.

主要成果:

实施该计划后,SCHF手术的平均等待时间减少了4.8小时 (35.4%), (13.4小时与8.7小时相比,P=0.001).
在手术持续时间,PACU时间或离院等待时间方面没有发现显著差异.
调查显示,尽管外科医生相信疗效,但护士和麻醉师的满意度很低,导致停止治疗.

结论:

早期OR启动计划显著减少了一夜SCHF的等待时间.
员工之间的冲突和不满最终导致了该计划的终止.
未来的举措需要早期的利益相关者参与,以确保OR的员工需求得到满足.

关键词:

操作室的操作室.儿科儿科儿科额头骨骨折额头骨骨折额头骨骨折创伤是一个创伤.

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