错误的手术计数造成的成本,手术延迟和X射线
Megan Melland-Smith1,2, Jenny Chang1, Varisha Essani1
1Department of General Surgery, Center for Abdominal Core Health, Cleveland Clinic Foundation, Cleveland, OH, USA.
The American surgeon
|May 22, 2024
概括
代码,一个外科安全协议,是资源密集的,发生在紧急情况下更多. 修改该协议可以减少手术室的时间和成本,尽管仅在3.3%的病例中识别了被保留的外体.
科学领域:
- 手术安全协议 手术安全协议
- 在手术内成像.
- 医疗保健资源管理 医疗保健资源管理
背景情况:
- 错误的手术仪器计数可能导致手术器件被保留.
- 克利夫兰诊所实施了Code Rust,这是一个涉及手术内X射线的协议,以解决计数差异.
- 该协议要求在切口关闭之前进行放射学审查和外科医生咨询.
研究的目的:
- 以回顾分析Code Rust.的频率,工作流程和资源利用情况.
- 评估与Code Rust协议相关的成本和时间.
- 评估通过Code Rust.识别的被保留的外体的发生率.
主要方法:
- 从2014年11月到2022年12月对Code Rust激活的回顾性审查.
- 对Code Rust案例的实时工作流和操作细节的分析.
- 计算与X射线和放射学报告流程相关的时间和成本.
主要成果:
- 确定了1277个代码生激活.
- 从X射线订单到最终放射学报告的平均时间为50分钟,手术室时间耗费2,362,450美元.
- 代码发生在紧急/紧急情况下的频率是两倍,并且与非代码房间相比,涉及更多的员工.
- 在3.3% (42/1277) 的案例中,被保留的外体被发现.
结论:
- 代码是一种资源密集型协议,经常用于多个员工的紧急情况.
- 该协议是昂贵和耗时的,对于识别保留的异物体的收益率很低.
- 建议重新审视Code Rust协议,以优化手术室的效率并降低开支.
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