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提高手术室效率在耳鼻喉-头手术:一个范围审查
Kalpesh Hathi1, You Sung Jon Nam2, James Fowler3
1Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, Dalhousie University, Halifax, Nova Scotia, Canada.
概括
在耳鼻喉科中,提高手术室 (OR) 的效率至关重要. 本综述综合了手术,麻醉和调度改进的策略,以提高患者护理和系统容量.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
背景情况:
- 手术室 (OR) 时间是医疗保健中的重大成本.
- 手术室经常面临效率低下的问题,这会影响患者的准入和治疗结果.
- 目前还没有针对耳鼻喉科的OR效率策略的全面审查.
研究的目的:
- 系统地审查和综合当前关于改善耳鼻喉科内OR效率的文献.
- 在手术,麻醉和后勤领域确定关键策略.
- 为实施基于证据的实践提供基础.
主要方法:
- 在多个数据库中进行全面的文献搜索 (MEDLINE,EMBASE,科学网,CINAHL,Cochrane图书馆, preprints.org,medRxiv).
- 包括英语研究报告OR效率指标在耳鼻喉科.
- 由两名独立审稿人进行选,遵循PRISMA对范围审查的指导方针.
主要成果:
- 从9316.0的初始搜索中包含了129篇文章.
- 关键策略包括手术 (静血,团队方法),麻醉 (局部麻醉,LMA),位置 (门诊,远程技术),标准化 (检查清单,人员) 和安排 (ML,专用团队).
- 最常见的是头部和部手术 (52/129项研究).
结论:
- 有许多策略可以提高耳鼻喉科的OR效率.
- 这些策略的实施可以提高医疗保健系统的能力,患者获取,安全和结果.
- 障碍包括对变革的抵抗,资金和医疗保健系统的压力.
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