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首页> 外文期刊>Current opinion in anaesthesiology >Management of outcomes in the ambulatory surgery center: the role of standard work and evidence-based medicine.
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Management of outcomes in the ambulatory surgery center: the role of standard work and evidence-based medicine.

机译：门诊手术中心的结果管理：标准工作和循证医学的作用。

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PURPOSE OF REVIEW: Quality and safety in the manufacturing and airline industries have benefited from evidenced-based process-improvement strategies. This review investigates the rationale for application of these same processes in the ambulatory anesthesia setting. RECENT FINDINGS: Application of quality methodologies in healthcare and other service industries has yielded similar quality and safety improvements as in the manufacturing and airline industries. Anesthesiologists have embraced the use of some mandated care plans, but many such opportunities have been rejected by the specialty, to the detriment of the safety and quality of patient care. Implementation of such mandates and team work training in healthcare would improve the safety and quality of medical practice as they have so dramatically in the airline and manufacturing industries over the preceding 30 years. SUMMARY: Ambulatory surgery and anesthesia care is uniquely oriented to the application of repetitive processes in the provision ofhighly predictable and reproducible surgical services. Ambulatory anesthesiologists should lead the healthcare industry in the much wider adoption of standard practice protocols and team training to maximally improve the safety and quality of patients' experiences.
机译：审查目的：制造业和航空业的质量和安全已受益于基于证据的过程改进策略。这篇综述调查了在门诊麻醉环境中应用这些相同过程的基本原理。最近的发现：质量方法论在医疗保健和其他服务行业中的应用与制造业和航空业一样，在质量和安全性方面也有类似的改进。麻醉医师已经接受了一些强制性的护理计划的使用，但是专科医师拒绝了许多此类机会，从而损害了患者护理的安全性和质量。在过去的30年中，在航空业和制造业中，在医疗保健领域执行此类任务和进行团队合作培训将极大地提高医疗实践的安全性和质量。摘要：动态外科手术和麻醉护理在提供高度可预测和可重复的外科手术服务方面，独特地针对重复性过程的应用。动态麻醉师应领导医疗保健行业广泛采用标准的操作规程和团队培训，以最大程度地提高患者体验的安全性和质量。

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