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在儿科日间手术中托盘合理化:一个可持续的质量改进项目
Eleanor Ferris1, Yara Hazem Zaky1, Emmy-Lou Elder1
1Department of Pediatric Surgery, Nuffield Department of Surgical Sciences, Oxford University Hospitals, Oxford, UK.
World journal of surgery
|March 8, 2025
概括
合理化手术托盘显著减少碳排放和成本. 这项质量改进项目展示了一种简单有效的方法,用于减少手术仪器消毒对环境的影响.
科学领域:
- 环境健康 环境健康
- 手术创新 在外科创新.
- 医疗保健的可持续性 医疗保健的可持续性
背景情况:
- 气候变化对公众健康构成重大威胁.
- 手术设备的消毒是手术室中碳排放的主要来源.
- 手术托盘的合理化可以减少手术程序的碳足迹.
研究的目的:
- 实施和评估一项针对儿科开放割术的手术托盘合理化项目.
- 评估托盘重新设计对仪器利用,碳足迹和成本的影响.
- 为了衡量员工对重新设计的外科手术托盘的看法.
主要方法:
- 在质量改进框架中的可持续性被用来合理化手术托盘.
- 仪器使用率和单独包装的仪器数据是以前性方式收集的.
- 干预后分析了碳排放,财务成本和员工态度.
主要成果:
- 手术托盘的尺寸减少了50%,删除了22个仪器.
- 仪器使用率从27%增加到74%,而单独包装的仪器没有显著增加.
- 碳排放量减少了38.2%,成本减少了39%,每年节省约383,952gCO2e和4338.84英.
结论:
- 手术托盘合理化是减少医疗机构对环境影响的有效策略.
- 这个质量改进项目为医疗保健专业人员提供了可复制的框架,以尽量减少碳足迹.
- 经过重新设计的托盘受到工作人员的好评,这表明了可行性和积极的环境影响.
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