门诊手术手术的利用率:通过手术仪表盘优化来降低成本
Ogechukwu C Onuh1, Michael F Cassidy1, David L Tran1
1New York University Langone Health, New York City, USA.
概括
优化手术仪器组可以大大降低成本,提高手术室效率. 这项研究发现,精简的手术托盘可以将年度再加工成本降低80%以上.
科学领域:
- 手术创新 在外科创新.
- 医疗保健管理的管理
- 成本效益分析 成本效益分析
背景情况:
- 手术仪器的使用是医疗保健成本的一个关键因素.
- 优化仪器组可以提高手术室的效率.
- 减少无菌加工中的废物对于降低成本至关重要.
研究的目的:
- 评估手术仪器在门诊手术中的利用率 (UF).
- 确定降低成本和提高效率的机会.
- 评估仪器优化对再加工成本的影响.
主要方法:
- 在19例手术中打开的跟踪仪器与使用的跟踪仪器.
- 计算手术仪器的使用率 (UF).
- 根据机构数据和文献估计无菌加工成本.
主要成果:
- 平均UF为10.7%±4.8%,每次打开120.1个仪器,使用12.6个仪器.
- 目前手托盘再加工成本估计为每年16863美元.
- 一个优化的托盘将年度再加工成本降低了13,603美元 (80.7%),达到3,260.0美元.
结论:
- 评估手术前和手术后的过程对于降低成本至关重要.
- 优化手术仪器套件可以大大节省成本.
- 这种方法在外科手术子专业中具有广泛的适用性.
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