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首页> 外文期刊>Krankenhaus-Hygiene + Infektionsverhutung >Significant reductions in OR turnover time require considerable investmentoutlays - results of a recent studies on OR efficiency
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Significant reductions in OR turnover time require considerable investmentoutlays - results of a recent studies on OR efficiency

机译：大量减少OR周转时间需要大量投资支出-最新OR效率研究的结果

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The reduction or 'optimization' of turnover times between procedures in the operating room (OR) is often considered an important tool to increase OR efficiency. This contrasts with findings in a recent survey of 257 anesthesiology department heads conducted by the German Society of Anesthesiology and Intensive Care Medicine (DGAI), the Professional Association of German Anaesthesiologists (BDA), and Hohenheim University. It showed that a mere 25% of German hospitals currently use prospective turnover times as a management tool. Important characteristics of modern OR-management such as the existence of an OR-charter or the position of responsible OR-manager increase the probability for the use of prospective targets for turnover times. The study's most important result was that turnover times can be reduced by up to 20% if a hospital establishes a centralized OR management. Findings in international studies show that higher reduction rates can only be achieved by implementing more far-reaching structural and organizational changes. In this context, the related concepts of centralized induction and/or parallel processing have attracted considerable attention in recent years. We argue, however, that the use of these concepts to reduce turnover times may be somewhat problematic. The reason is that reduced turnover times by definition also constrain the available time intervals for other important processes notably maintenance of OR hygiene. An additional problem is the fact that the implementation of centralized induction and/or parallel processing would require considerable initial investment expenditures by German hospitals. In contrast to these immediate outlays, the long-term cost effects of these changes are notoriously difficult to assess and international studies show mixed findings. Based on these arguments, we believe that significant reductions in OR turnover times will not be achieved in most German hospitals in the foreseeable future.
机译：减少或“优化”手术室（OR）中各程序之间的转换时间通常被认为是提高OR效率的重要工具。这与最近由德国麻醉学和重症监护医学会（DGAI），德国麻醉医师专业协会（BDA）和霍恩海姆大学对257名麻醉科负责人进行的调查结果相反。结果表明，目前只有25％的德国医院使用预期周转时间作为管理工具。现代OR管理的重要特征（例如OR章程的存在或负责任OR经理的职位）增加了将预期目标用于周转时间的可能性。该研究最重要的结果是，如果医院建立集中的OR管理，则可以将周转时间减少多达20％。国际研究的结果表明，只有通过实施更深远的结构和组织变革，才能实现更高的减排率。在这种情况下，集中感应和/或并行处理的相关概念近年来引起了相当大的关注。但是，我们认为，使用这些概念来减少周转时间可能会有些问题。原因是，按照定义，减少的周转时间也限制了其他重要过程的可用时间间隔，尤其是维持OR卫生。另一个问题是，实施集中感应和/或并行处理将需要德国医院大量的初期投资支出。与这些直接支出相比，众所周知，这些变化的长期成本影响难以评估，国际研究表明结果不一。基于这些论点，我们认为，在可预见的将来，大多数德国医院将无法实现OR转换时间的大幅减少。

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