口头目标设定对手术室周转时间的影响:一项随机试验
Ethan Matz1,2, Rahul Dutta3,4, Matvey Tsivian3
1Department of Urology, University of Texas, Southwestern, 5323 Harry Hines Blvd, MC 9110, Dallas, TX, 75390, USA. Ethanmatz@gmail.com.
International urogynecology journal
|November 14, 2023
概括
口头提示并没有显著改善整体手术室周转时间,但确实在小手术中显示出好处,并在重大手术病例中减少时间. 这项研究强调了有针对性的提高手术效率的领域.
科学领域:
- 医疗保健管理的管理
- 手术手术手术手术手术手术手术手术
- 提高质量 提高质量
背景情况:
- 手术室的周转时间非常变化,影响医院的成本和满意度.
- 较长的周转时间会对医院的财务状况和外科手术吞吐量产生负面影响.
研究的目的:
- 评估语言化时间目标对实现机构手术室周转时间目标的影响.
- 为了确定口头提示策略是否提高了满足目标周转时间的可能性.
主要方法:
- 在四个手术场所进行了前性,单盲,随机化试验.
- 同一个外科医生的连续病例被随机分配,接受口头即时或通常的护理.
- 进行多变量和单变量统计分析来评估结果.
主要成果:
- 总体而言,只有39.8%的案件达到了机构的流通时间目标.
- 在所有情况下,口头提示并没有显著增加实现目标的可能性 (38.4%对43.4%).
- 口头提示在小手术中显著改善了目标实现 (64.0%vs39.0%) 和大手术中减少了周转时间 (59.7vs47.8分钟).
结论:
- 学术中心在不到40%的案例中实现了目标周转时间.
- 虽然并非普遍有效,但口头提示在特定的外科手术子组中显示出显著的益处.
- 有针对性的口头提示策略可能会在某些外科设置中提高效率.
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