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关联成本的回顾性分析和OR利用在工作日的可变性来源
AORN journal
|June 26, 2024
概括
整个星期,由于延迟启动,置时间和延误增加,手术室 (OR) 的利用率下降. 这种变化对医院成本和收入损失产生重大影响,需要针对性的改进策略.
科学领域:
- 医疗保健管理的管理
- 手术手术研究研究研究手术研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有限的研究存在于手术室 (OR) 使用模式跨周日.
- 了解OR效率的日常变化对于优化外科手术工作流程和资源配置至关重要.
研究的目的:
- 分析每周一天的手术室 (OR) 使用率的变化.
- 确定导致这种变化的来源并量化其财务影响.
主要方法:
- 对55个月的手术数据进行了回顾性分析.
- 关键指标包括OR利用率,延迟启动,置时间和延迟,这些指标都计算在每一个工作日.
主要成果:
- 随着一周的进展,OR利用率呈现下降趋势.
- 这种下降与延迟启动,延迟和置时间的复合增加有关.
- 未使用的人员分钟低于85%的OR利用目标,平均每周成本为19,383美元,收入损失为每个OR60,256美元.
结论:
- 由于运营效率低下,在工作日之间存在显著的OR利用变化.
- 周术领导者必须解决这些变化来源,以提高患者的治疗结果,降低成本,并最大限度地提高收入.
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