改善及时移植,同时减少预定手术的取消
John K Peel1, Jennifer Whiteley2, Terri Stuart-McEwan3
1Department of Anesthesiology, University Health Network, University of Toronto, Toronto, Ontario, Canada.
The Journal of thoracic and cardiovascular surgery
|November 8, 2025
概括
实施大学健康网络卫生保健优化研究所系统显著减少了器官移植计划中的手术取消. 这项质量改善计划提高了手术室的效率,并改善了移植接受者获得护理的机会.
科学领域:
- 移植手术 移植手术
- 医疗保健运营管理 医疗保健运营管理
- 质量改善倡议 质量改善倡议
背景情况:
- 器官移植项目因紧急病例而面临资源紧张,往往导致预定的手术取消.
- 在一个主要的北美多器官移植中心 (多伦多总医院,大学健康网络) 开展了一项质量改善计划.
- 该计划适应了医疗保健优化研究所开发的系统,用于管理外科手术期间的资源.
研究的目的:
- 评估大学卫生网络卫生保健优化研究所系统对移植计划效率的影响.
- 评估手术室资源利用和获得移植的变化.
- 确定新系统是否能够容纳增加的移植量,而不会扰乱其他外科手术服务.
主要方法:
- 采用了回顾性,前后,单中心研究设计.
- 大学卫生网络卫生保健优化研究所系统涉及为紧急/紧急病例设立两个手术室,并正式确定移植紧急情况的分类.
- 分析了手术取消,手术室访问时间,开放后移植和病例完成率的数据.
主要成果:
- 观察到每月手术取消的数量显著减少 (3%对9%,P<.001).
- 所有器官类型的器官移植接受者在目标时间内改善了进入手术室的机会 (P < .001).
- 没有发现后勤移植的增加或月经完成病例的减少 (P = .684).
结论:
- 大学卫生网络卫生保健优化研究所系统成功改善了手术室资源管理.
- 实施的系统使该中心能够处理增加的器官移植量.
- 这一举措表明,可以实现更高的运营效率,而不会对其他外科服务产生负面影响.
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