手术室管理新理念.pptVIP

PATS OBSU的利处 平均每天50台手术; 90%病人是当天入院; 13%病人是当天出院（outpatients); 病人减少住院天数,加快床位周转; 更多的参与和关注自身健康; 节省病人费用. 信息交流 我院三位一体的围手术期护理 * Future of OR Nursing:手术室护理的未来- Ambulatory门诊手术- Efficiency效率- Safety安全 Patrick E. Voight RN, BSN, MSA, CNOR Trend: The Shift from Inpatient to Outpatient (Ambulatory)趋势：住院手术向门诊手术转变 Creating a Roadmap for an On-time Start General Surgery Simple Case Patient arrival 6:30 a.m. Anesthesia see patient 7:00 a.m. Patient transported to OR 7:15 a.m. Patient arrives in OR 7:20 a.m. Surgeon present in hospital 7:30 a.m. Patient asleep 7:40 a.m. Incision is made 8:00 a.m. General Surgery Complex Case Patient arrival 6:00 a.m. Anesthesia see patient 6:50 a.m. Patient transported to OR 7:05 a.m. Patient arrives in OR 7:10 a.m. Surgeon present in hospital 7:30 a.m. Patient asleep 7:30 a.m. Incision is made 8:00 a.m. Time Reduction Timing Patient Entry into the OR Room Cleanup Room Setup Transport to OR Incision Room Cleanup Room Setup Transport to OR Incision Allowing Induction to Start Earlier Traditional Process Early Patient Entry 以病人为中心 满足进修人员观看手术的需求 无需进入手术室即可接受培训 及教育。 及时传回示教室及学术交 流中心的反馈意见，实现 双向沟通。 * * * * Progressive institutions are moving beyond simply establishing a standard definition of start time by creating start-time matrices; These matrices delineate the key milestones that must occur in order for a case to start on-time and provide a detailed schedule that outlines precisely when each task must occur By outlining the exact times at which necessary steps must occur in order for a case to start on time, the practice eliminates much of the guesswork typically associated with beginning a procedure at the scheduled time Consideration should also be given to staggering 1st case starts Since Anesthesiologist typically oversee multiple ORs, staggering 1st case starts also allows one Anesthesiologist to be present at induction for several first cases if the Anesthesia is being provided