改善麻醉后护理病房 (PACU) 的延误：质量改进项目。

IF 1.6 4区医学 Q2 NURSING

Journal of Perianesthesia Nursing Pub Date : 2024-10-01 DOI:10.1016/j.jopan.2023.12.001

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引用次数: 0

摘要

目的：麻醉后护理病房（PACU）内的延误是导致并发症和低效率的主要原因。在这个项目中，我们调查了与 PACU 延误相关的因素，并实施了相关政策来减少这些因素：设计：质量改进项目：方法：收集科威特一家三级妇产科医院 1134 名手术患者的数据，为期 10 个月。与利益相关者举行了多次会议，以确定并克服导致 PACU 延误的原因：PACU 延误的主要原因包括入院和出院政策不当导致的人手短缺和外科病房床位不足。为改善入院政策、加快病人出院和改善病人在手术室（OT）的流动，实施了相关政策。这些政策使患者在手术室的平均逗留时间大幅缩短（25 分钟），主要是通过将患者在 PACU 的逗留时间缩短 19 分钟而实现的：结论：PACU 的延迟主要是由于手术室以外的原因造成的。此外，还需要进行后续跟踪，以评估这些改进措施的可持续性，并确定可能出现的任何新挑战。

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Improving Postanesthesia Care Unit (PACU) Delays: A Quality Improvement Project

Purpose

Delays within the postanesthesia care unit (PACU) are a major cause of complications and inefficiency. In this project, we investigated the factors associated with delays in the PACU and implemented policies to mitigate these factors.

Design

A quality improvement project.

Methods

Data were collected for 10 months and included 1,134 surgical patients in a tertiary Obstetrics and Gynecology hospital in Kuwait. Several meetings were held with stakeholders to identify and overcome the reasons contributing to delays within the PACU.

Findings

Among the top reasons for PACU delay were manpower shortage and lack of bed availability in the surgical wards due to improper admission and discharge policies. Policies were implemented to improve admission policy, hasten patient discharge, and improve patient flow through the operating theater (OT). These policies lead to a significant reduction (25 minutes) in the average time patients spend in the OT, mainly by reducing the stay in the PACU by 19 minutes.

Conclusions

PACU delays were mostly due to reasons outside the OT. Further, follow-up is needed to assess the sustainability of these improvements and identify any new challenges that may arise.

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来源期刊

Journal of Perianesthesia Nursing NURSING-

CiteScore

2.20

自引率

17.60%

发文量

279

审稿时长

90 days

期刊介绍： The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.