标准化和数字化手术室流程在肥胖手术中的质量和经济影响
Christian von Schudnat1, Dirk Weyhe2, Blanca de Miguel Molina3
1Department of Business Organization, Faculty of Business Management, Universitat Politecnica de Valencia, Cami de Vera, s/n, 46022, Valencia, Spain. Cvonschudnat@icloud.com.
Obesity surgery
|October 22, 2023
概括
肥胖手术中的数字工作流管理显著提高了经济效率和成本效益. 在手术室 (OR) 中的这种创新降低了成本并提高了收入,尽管质量影响需要进一步研究.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 手术过程优化手术过程优化
- 卫生经济学 卫生经济学
背景情况:
- 医疗保健中采用数字解决方案的速度落后,但为提高效率和质量提供了显著的潜力.
- 医院面临越来越大的经济压力,需要优化手术室 (OR) 流程.
研究的目的:
- 调查腹腔镜Roux-en-Y胃绕道 (LRYGB) 的数字化和标准化手术内外科手术流程对效率,质量和经济的影响.
- 评估数字解决方案在支持OR过程优化方面的价值.
主要方法:
- 追溯病例控制,单中心研究,每组涉及49名患者.
- 倾向性得分匹配 (PSM) 使用后勤和线性回归进行效率分析.
- 用于质量评估的几率比率分析.
主要成果:
- 在数字化集团中观察到效率和成本效益的显著改善.
- 逗留时间 (LoS) 减少了1.2天 (4.4天而不是5.6天).
- 每名患者的成本降低了318欧元,总收入提高了10,073.3欧元. 减少OR和皮肤对皮肤时间的标准偏差表明过程标准化增加.
结论:
- 数字工作流管理系统提高了肥胖手术的经济效率.
- 建议对OR数字化进行进一步的研究和补偿,以提高数字支持系统的可访问性.
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