从纸张到平台:评估从手动到电子手术预订在大型医院设置的转变
1Management, Nasser Institute Hospital for Research and Treatment, Cairo, EGY.
Cureus
|September 29, 2025
概括
实施电子手术预约系统显著提高了大型第三级医院的手术室效率和合规性. 这种转变减少了调度错误和相关成本,显示出明显的优势,而不是手动方法.
科学领域:
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
- 手术手术手术手术手术手术手术手术
背景情况:
- 电子手术预订系统提高了高收入国家的手术室效率.
- 在低收入和中等收入国家的大型公共医院中,这些系统的证据有限.
研究的目的:
- 为了比较手动和电子预订系统之间的外科预订合规性,安排准确性和运营效率.
- 这项研究是在一家大型三级医院进行的.
主要方法:
- 一项回顾性比较研究分析了17个专业的3,268个选择性手术病例.
- 在三个月内收集数据,将手动预订 (2025年4月) 与电子预订 (2025年6月至7月) 进行比较.
- 关键指标包括预订合规性,安排冲突,未保留的案件和延误.
主要成果:
- 预订合规性从64.7% (手动) 增加到89.7% (电子),这是统计学上显著的改善 (p<0.001).
- 电子系统将不当安排的病例减少了14%,节省了大约63个手术室小时和每月126,000 EGP.
- 实施后手术体积增加了31%.
结论:
- 与手工方法相比,电子预订系统大大提高了大型三级医院的合规性和效率.
- 调查结果表明,有显著的成本节约和运营效益,尽管需要进一步的前性多中心研究.
- 通过备份和培训来管理数据丢失等潜在风险,但没有直接评估患者的结果.
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