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首页> 外文期刊>Studies in Health Technology and Informatics >Introduction of an Operating Room Information Management System Improved Overall Operating Room Efficiency
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Introduction of an Operating Room Information Management System Improved Overall Operating Room Efficiency

机译：引入手术室信息管理系统，提高了整体手术室效率

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Operating Room (OR) information systems should manage the OR time, assigned to every surgeon, thereby minimizing the sum of costs of unused OR time and minimizing the costs of elective cases performed outside normal allocated OR time (excess OR-time). The aim of this paper is to illustrate how the introduction of an OR information system influenced daily OR activity performance. Since January 2001, we introduced an OR information system with a visual, airport-like, screen as central part, displaying all scheduled OR activity linked in realtime activity with all OR theatres. For the aim of this paper, we compared all data of OR activity for elective abdominal surgery (EAS) for the first half of 2000 compared to the first half of 2001, after the introduction of our information system. In 2000, 764 elective cases were performed, compared to 815 cases in 2001. For both periods, the total OR time allocated to EAS for this 6 months period was 805 h. For 2000, the total duration of OR activity for EAS was 1044h50min (implicating 239h50min over-time), compared to 1127h35min (implicating 322h35min overtime) for 2001. For 2000, we recorded 147h20min excess time (=exceeding the time limits of OR activity and inducing extra costs) and 46h45min unused OR time. For 2001, we recorded 123h04min excess time and 35h21min unused time. In conclusion, in 2001 we recorded an increase in total OR activity for elective abdominal surgery by 7% in number of procedures and by 8% in total duration. However, in 2001 we recorded a decrease in excess time by 16% (123h04min vs 147h20min), which was for a large part due to a 23% decrease in unused OR time in 2001 compared to 2000 (35h21min vs 46h45min). Therefore, the introduction of an OR information system, with a real-time visual display of ongoing OR activity, resulted in a increased performance of OR activity, with more OR procedures performed despite less excess time and less extra costs.
机译：手术室（OR）信息系统应管理分配给每个外科医生的OR时间，从而使未使用的OR时间的总和最小化，并使在正常分配的OR时间（多余的OR时间）之外进行的选择性病例的成本最小化。本文的目的是说明OR信息系统的引入如何影响日常OR活动表现。从2001年1月开始，我们引入了一个OR信息系统，该系统以可视化的，类似于机场的屏幕为中心，显示与所有OR剧院实时活动链接的所有预定OR活动。出于本文的目的，在引入信息系统后，我们比较了2000年上半年与2001年上半年相比，择期腹部手术（EAS）的所有OR活动数据。 2000年，进行了764例选择病例，而2001年为815例。在这两个时期，分配给EAS的这6个月的总手术时间为805小时。 2000年，EAS的OR活动总持续时间为1044h50min（意味着239h50min加班），而2001年为1127h35min（意味着322h35min加班）。对于2000年，我们记录了147h20min的额外时间（=超过OR活动的时间限制和导致产生额外费用）和46h45min的未用OR时间。在2001年，我们记录了123h04min的超时时间和35h21min的未使用时间。总之，在2001年，我们记录了选择性腹部手术的总手术室活动数量增加了7％，总手术时间增加了8％。但是，在2001年，我们记录了多余时间减少了16％（123h04min比147h20min），这在很大程度上是由于2001年未使用的OR时间与2000年相比减少了23％（35h21min vs 46h45min）。因此，引入具有正在进行的OR活动的实时可视显示的OR信息系统，可以提高OR活动的性能，尽管减少了额外的时间，却减少了额外的成本，但执行了更多的OR程序。

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