实施优先考虑过程对第三级急诊室非预定手术等待时间的影响
Marcelo Cristiano Rocha1, Sergio Henrique Bastos Damous1, Rafaela Alkmin Costa1
1Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil; Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.
Clinics (Sao Paulo, Brazil)
|June 21, 2025
概括
实施结构化优先级处理过程显著减少了手术等待时间,并改善了对非选择性手术的干预目标的遵守. 这一策略在繁忙的学术急诊医院环境中被证明是有效的.
科学领域:
- 医疗保健管理的管理
- 手术手术手术手术手术手术手术手术
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 长时间的手术等待时间和延迟的干预措施会影响患者的治疗结果和医院的效率.
- 学术急诊医院的非选择性手术面临着复杂的安排挑战.
- 结构化优先级系统越来越多地被探索以优化外科手术工作流程.
研究的目的:
- 评估结构化优先级过程对手术等待时间的影响.
- 评估对非选择性手术的干预时间目标的遵守.
- 确定紧急医院新优先级模式的可行性和接受性.
主要方法:
- 观察性回顾性单中心队列研究,比较干预前后的时间.
- 干预包括紧急分类,Kanban仪表板和每日多学科会议.
- 分析了从手术指示到手术的中位时间,以及遵守等待时间窗口.
主要成果:
- 平均手术等待时间从17小时20分钟大幅减少到8小时52分钟 (p < 0.001).
- 遵守可接受的等待时间窗口从60.5%提高到77.1% (OR = 2.205).
- 分析了1851次非选择性手术.
结论:
- 一个结构化的优先级策略有效地减少了手术等待时间,并改善了对时间表的遵守.
- 实施的模型证明了可行性和多学科团队的接受.
- 建议进行进一步的研究,以探索这种优先级策略的长期影响.
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