Dedicated Orthopedic Operating Room Unit Improves Operating Room Efficiency

被引：39

作者：

Small, Travis J. ^{[1
]}

Gad, Bishoy V. ^{[1
]}

Klika, Alison K. ^{[1
]}

Mounir-Soliman, Loran S. ^{[2
]}

Gerritsen, Ryan L. ^{[1
]}

Barsoum, Wael K. ^{[1
]}

机构：

[1] Cleveland Clin, Dept Orthopaed Surg, Cleveland, OH 44195 USA

[2] Cleveland Clin, Dept Gen Anesthesiol, Cleveland, OH 44106 USA

来源：

JOURNAL OF ARTHROPLASTY | 2013年 / 28卷 / 07期

关键词：

total knee arthroplasty; total hip arthroplasty; operating time; turnover time; procedure time; throughput; ANESTHESIA; SURGEON; PREDICTION; INDUCTION; TIMES;

D O I：

10.1016/j.arth.2013.01.033

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We investigated the effectiveness of dedicated orthopedic operating rooms (OR) on minimizing time spent on perioperative processes to increase OR throughput in total knee and hip arthroplasty procedures. The use of a dedicated orthopedic unit that included 6 ORs with staff allocated only for those ORs was compared to the use of a traditional staffing model. After matching to simulate randomization, each group consisted of 422 procedures. The dedicated orthopedic unit improved average anesthesia controlled time by 4 minutes (P<.001), operative time by 7 minutes (P = .004) and turnover time by 8 minutes (P<.001). An overall improvement of 19 minutes per procedure using the dedicated unit was observed. Utilizing a dedicated orthopedic unit can save time without increasing adverse events. (c) 2013 Elsevier Inc. All rights reserved.

引用

页码：1066 / 1071

页数：6

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