量化紧急手术室流程性能:临床研究的系统审查
Sarah Morton1, Roshni Manek2, Narges Mohammadi3
1Anaesthetics, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK; Anaesthetics, Pain Medicine and Intensive Care, Imperial College London, London, UK.
British journal of anaesthesia
|February 4, 2026
概括
这次系统审查发现,紧急手术室的性能研究往往缺乏质量和通用性. 需要就最佳实践达成共识,以避免对效率和有效性做出不准确的结论.
科学领域:
- 医疗保健管理的管理
- 手术手术研究研究研究手术研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 手术室的表现对于医疗保健资源优化至关重要.
- 与选择性手术相比,紧急手术室的表现提出了独特的挑战.
- 量化绩效涉及生产力,效率和有效性等指标.
研究的目的:
- 系统地审查用于紧急手术室表现的指标.
- 评估现有关于紧急手术室表演的文献的方法质量.
主要方法:
- 在PubMed,ISI知识网和Embase搜索到2024年12月.
- 使用的医疗科目标题为"计量"",性能"和"手术室".
- 通过使用ROBINS-I和GRADE标准,独立审查的研究包括和质量.
主要成果:
- 包括32项临床研究,确定了19项绩效指标 (6项效率,10项有效性,3项生产力).
- 经常报告的指标包括非工作时间 (59%),延迟 (53%) 和利用率 (41%).
- 大多数研究质量低 (34%) 或非常低 (66%),在度量足够性,概括性和权衡量度方面存在问题.
结论:
- 没有广泛认可的框架来评估紧急剧院性能研究的质量.
- 临床研究经常优先考虑有效性而不是效率,可能会导致结果偏见.
- 系统性偏见很常见,影响研究结果的有效性和概括性,需要就最佳实践达成共识.
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