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首页> 外文期刊>Canadian journal of surgery: Journal canadien de chirurgie >Identification and use of operating room efficiency indicators: The problem of definition
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Identification and use of operating room efficiency indicators: The problem of definition

机译:确认和使用手术室效率指标:定义问题

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One of the main challenges in developing a scorecard for measuring and monitoring OR performance is determining which indicators are most important for inclusion. Indicators ideally should consist of data already available in OR information systems (readily measurable), and qualitative measures, such as satisfaction surveys, should probably be avoided because most of them are not validated.2 However, there appears to be variation among hospitals in terms of which data elements and indicators are collected and analyzed,4'' posing significant challenges for external benchmarking. Only with uniform data and indicator definitions can hospitals proceed with benchmarking and hopefully share learning, leading ultimately to best practice. Moreover, owing to the diverse group of stakeholders involved - surgeons, anesthesiologists, nurses and hospital administrators -it is often difficult to achieve consensus on which indicators are most important for measuring performance.1 For example, to a hospital administrator, optimal performance may mean minimum variance from the budget. To a surgeon, it may mean on-time starts, rapid turnovers and few cancellations.
机译:制定用于衡量和监控手术室绩效的计分卡的主要挑战之一是确定哪些指标最重要。理想情况下,指标应包含OR信息系统中已经可用的数据(易于测量),并且应避免使用定性措施(例如满意度调查),因为其中大多数未经验证。2但是,医院之间的术语似乎有所不同其中的数据元素和指标已被收集和分析4'',这对外部基准测试构成了重大挑战。只有采用统一的数据和指标定义,医院才能进行基准测试,并希望分享学习经验,最终实现最佳实践。此外,由于涉及的利益相关者群体各不相同,包括外科医生,麻醉师,护士和医院管理人员,因此通常很难就哪些指标对于衡量绩效最重要达成共识。1例如,对于医院管理人员而言,最佳绩效可能意味着与预算的最小差异。对于外科医生而言,这可能意味着准时开始,快速周转和很少取消手术。

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