培训资料-国际手术室发展现状.pptVIP

提高效率应遵守原则：Safety(versusefficiency)安全（与效率）MaximizingORefficiencyminimizingpatientdelaysandcancellationsonthedayofsurgery效率最大化或尽量减少对病人的手术当天延误和取消Improvingpredictability(patient,staffphysiciansatisfaction)提高可预见性（病人，工作人员和医生的满意度）MaximizingaccesstoORtimeon“AnyWorkday”,oncecriteriaismet一旦条件满足，最大限度在“任何工作日”安排手术改善术前患者准备流程患者的病史和目前身体情况获得必要的信息预约术前检查在医院或通过外部设备进行诊断不适当的测试顺序因缺少信息而增加了延误手术的可能性相对健康的病人，设置低复杂度的预定程序，避免不必要的检查234改善术前患者准备过程麻醉前评估进一步的术前检查确认手术或者进一步的检查无法找到病人的资料，作进一步术前检查的需求可能大大增加延迟手术安排最后一分钟的病人资料的审查，可能导致手术被延误或取消安排手术进入申请表678**ORschedulingistheheartoftheOperatingRoom.Whenplannedandadministeredwell,itshould:ServeasacommunicationtoolforplanningpatientcareAllowcoordinationofallresourcesrequiredforsurgery,includingsurgeons,ORstaff,Anesthesiapersonnel,equipment,supplies,instrumentation,andawellpreparedpatientFacilitateinterandintra-departmentcommunicationProvideaccurateschedulesthatcanbereasonablyfulfilledAllowoptimaluseofresourcesanidentifyresourceconflictsAllowcasestostartontimeProvidepatient,staffandsurgeonsatisfactionAneffectivesurgicalschedulingsystemhas2basiccomponents:ScheduleplanningScheduleadministration****ORschedulingistheheartoftheOperatingRoom.Whenplannedandadministeredwell,itshould:ServeasacommunicationtoolforplanningpatientcareAllowcoordinationofallresourcesrequiredforsurgery,includingsurgeons,ORstaff,Anesthesiapersonnel,equipment,supplies,instrumentation,andawellpreparedpatientFacilitateinterandintra-departmentcommunicationProvideaccurateschedulesthatcanbereasonablyfulfilledAllowoptimaluseofresourcesanidentifyresourceconflictsAllowcasestostartontimeProvidepatient,staffandsurgeonsatisfactionAneffectivesurgicalschedulingsystemhas2basiccomponents:ScheduleplanningScheduleadministration**Thedefinitionof“cas