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What is the best workflow for an operating room? A simulation study of five scenarios.

机译:什么是手术室的最佳工作流程?五个方案的仿真研究。

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摘要

Parallel induction of anesthesia improves operating room (OR) efficiency. To support decision-making as to optimal facilities and optimal use of resources, we compared the cost-efficiency of several workflow models of parallel induction to that of the traditional model, using discrete-event simulation. For each scenario, average number of procedures performed, surgery time, daily over- and underutilized time, and staffing costs per operation were assessed. We also studied whether scheduling short and long procedures in separate rooms would amplify the effects of the parallel processing. All parallel work-flow models demonstrated better cost-efficiency than the traditionally sequenced working pattern. Staffing costs per procedure were 7% lower in the best induction model than in the traditional model. When short procedures were scheduled separately, differences between induction models were small.
机译:并行诱导麻醉可改善手术室(OR)效率。为了支持有关最佳设施和资源最佳利用的决策,我们使用离散事件模拟将几种并行归纳的工作流程模型与传统模型的成本效率进行了比较。对于每种情况,均评估了平均手术次数,手术时间,每日过度使用和未充分利用的时间以及每次手术的人员成本。我们还研究了在单独的房间中安排短期和长期程序是否会放大并行处理的效果。与传统的顺序工作模式相比,所有并行工作流模型都显示出更好的成本效率。最佳归纳模型的每个程序的人员配备成本比传统模型低7%。当分别安排简短的程序时,归纳模型之间的差异很小。

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