集中化外科护理对跨多医院系统的绩效结果的影响:系统性审查
Brett A Johnson1,2, Anoosha Moturu1,3, Shelby Eagle1
1Division of Research and Optimal Patient Care, American College of Surgeons, Chicago, Illinois.
Annals of surgery
|August 12, 2025
概括
集中复杂的外科护理改善了多医院系统中的患者结果和运营效率. 然而,将不复杂的程序集中显示出有限的好处,并可能降低效率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 手术护理 提供手术护理
- 医疗保健管理的管理
背景情况:
- 促进集中式外科护理,以提高多医院系统的价值.
- 采用是不一致的,而跨手术复杂性的影响是不清楚的.
研究的目的:
- 评估集中外科护理对临床和操作性能的影响.
- 在多医院系统中评估不同手术复杂度级别的影响.
主要方法:
- 对PubMed,Embase和Web of Science的系统审查 (开始时间:2025年1月30日).
- 包括集中手术护理的医院级和系统级比较.
- 将手术护理分类为复杂或非复杂;以叙事方式综合发现.
主要成果:
- 集中复杂的手术改善了死亡率,并发症率,失败救援,生存和遵守标准.
- 运营效益包括资源利用率,停留时间缩短和成本降低.
- 集中非复杂的护理显示出有限的临床益处和减少的运营效率.
结论:
- 对组织外科护理的选择性,基于复杂性的方法提高了系统价值.
- 需要进一步研究实施策略和可扩展性.
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