患者在手术室的等待时间和相关原因
Çağla Islatti Mutlu1, Manar Aslan2
1Department of Nursing, Faculty of Health Sciences, Marmara University, Istanbul, Turkey.
Journal of evaluation in clinical practice
|January 12, 2026
概括
由于之前的手术和团队准备的延迟,患者经历了长时间的手术室等待时间. 组织改进和有效的沟通可以显著减少这些手术过程的延迟.
科学领域:
- 医疗保健管理的管理
- 手术过程优化手术过程优化
- 患者流量分析分析
背景情况:
- 有效的手术室管理对于患者护理和医疗保健系统效率至关重要.
- 这项研究调查了整个手术过程中的患者等待时间,从诊所出院到术后返回.
- 确定这些等待的持续时间和原因对于改善患者体验和资源利用至关重要.
研究的目的:
- 监测和量化手术过程中各个区域的患者等待时间.
- 确定导致患者在手术室等待时间延长的主要原因.
- 为提高手术室效率和患者流动提供数据驱动的见解.
主要方法:
- 在30个工作日内进行了一项纵向后续研究.
- 从416名在整体外科,耳鼻喉科和骨科部门接受选择性手术的患者收集了数据.
- 描述性统计和协差分析被用来分析等待时间和促成因素.
主要成果:
- 患者的平均总等待时间为65.84分钟,在T3 (31.68分钟) 和T8 (25.00分钟) 等特定区域有显著等待时间.
- 延迟的主要原因包括之前手术完成的延迟 (33.8%),团队准备 (23.8%),以及桌子/设备设置 (16.1%).
- 在T3的特定延迟与之前的手术完成 (51.5%),T4与桌子/设备准备 (44.8%),T8与人员因素 (23.8%) 有关.
结论:
- 由于多种操作因素,患者在手术过程中面临相当长的等待时间.
- 实施组织改进和促进有效的团队沟通对于减少这些延迟至关重要.
- 优化手术室规划和团队间沟通可以提高患者流量,减少整体等待时间.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
365
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
365
Cardiomyopathy VII: Pre and Post Operative Nursing Management
274
Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
274
Aneurysm IV: Nursing Management
365
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
365
Kidney Transplant II: Surgical Procedure
297
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
297
SBAR II: Application of SBAR
5.6K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.6K
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
534
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
534

