估计完成多次手术前区域麻醉手术的第90个百分点时间,以减轻由神经块引起的手术室延迟.
Franklin Dexter1, Richard H Epstein2, Rakesh V Sondekoppam3
1Department of Anesthesia, University of Iowa, 200 Hawkins Drive, Iowa City, IA, 52242, United States of America. Franklin-Dexter@UIowa.edu.
Journal of medical systems
|April 16, 2025
概括
区域区块的预手术时间不足导致手术室的延误. 使用概率分布预测程序完成时间有助于减轻第一次启动的延迟.
科学领域:
- 麻醉学 麻醉学
- 操作室管理 操作室管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 首例手术室启动的延迟往往是由于为手术前区域区块分配的时间不足造成的.
- 准确预测区域块程序时间对于有效的手术室安排至关重要.
研究的目的:
- 测试规划区域区块启动时间的假设,以减轻第一次手术室延迟的情况.
- 评估程序数量与程序完成时间之间的关系.
主要方法:
- 在两个学术医院手术室进行区域麻醉手术的回顾性队列研究.
- 使用量子位回归分析程序完成时间的分析,重点是0.5 (中位数) 和0.9量子位数.
- 统计分析包括多重比较的邦费罗尼调整.
主要成果:
- 增加区域程序的总分钟与较大的首例启动延迟和延迟有关.
- 每天的手术数量没有显著影响每次手术的中位数 (0.5量子) 时间.
- 每天程序的增加与每次程序的0.9量子力时间的显著减少有关,这支持了总时间小于个别0.9量子力总和的假设.
结论:
- 量子回归或日志正常分布模型可以预测区域区块开始时间,以最大限度地减少第一个案例的延迟.
- 多个程序的估计完成时间比单个0.9量子的总和要短,但比中位数的总和要长.
- 使用这些预测方法进行优化调度,可以在第一个病例发生之前为多个程序提供足够的时间,从而减少手术室的延误.
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