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目的对开台手术涉及的三方主体占用时间进行调查,分析开台手术滞后原因,提出改进意见。方法实地调查全部手术室12个连续工作日开台手术各个时间节点,统计描述各时间节点和时间段均值及极端值,结合具体流程,分析原因,提出建议。结果调查159台手术,患者进入手术室等候区至“刀碰皮”的平均用时是89分钟,患者等候进入手术间的平均时间是21分钟,在手术间等待手术医师的时间27分钟,等待麻醉医师的时间8分钟。结论患者从病房到开始手术的等待时间过长,可有较大压缩空间。建议早7:50前将患者送入手术间,麻醉师8:00做麻醉准备,手术医师8:15入手术室以减少患者等待时间,提高工作效率。
Objective To investigate the occupancy time of the tripartite subjects involved in the operation in Taiwan and analyze the causes of the lag in the operation of Taiwan and propose the suggestions for improvement. Methods All the operation rooms were surveyed on 12 consecutive working days in each operation. The mean and the extremums of nodes and time periods in each time were statistically described. The reasons were analyzed and the suggestions were put forward. Results 159 patients were interviewed, the average patient access time to the operating room waiting area was 89 minutes, the average waiting time for patients to enter the operating room was 21 minutes, the waiting time for operating surgeons in the operating room was 27 minutes, Waiting for anesthesiologist’s time 8 minutes. Conclusion Patients from the ward to start the surgery waiting time is too long, can have a greater compression space. It is suggested that the patients should be taken to the operating room before 7:50, the anesthetist will be ready for anesthesia at 8:00, and the surgeon 8:15 to reduce the patient waiting time and improve work efficiency.