当每一分钟都很重要:实施围手术期护士的术前时间为基础的目标,以减少首次病例准时开始延迟。

IF 1.1 4区 医学 Q4 NURSING
Aorn Journal Pub Date : 2025-08-01 DOI:10.1002/aorn.14381
Sherri Crumley, Audrey Klopp, William Duffy
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引用次数: 0

摘要

提高手术室首病例准时开诊(FCOTS)是围手术期护士和领导者寻求提高效率的一个多因素挑战。本文描述了在医院门诊手术中心实施的质量改进项目,以减少FCOTS延迟,这使得该组织无法实现其FCOTS坚持率达到80%或更高的目标,到2023年平均达到59%。通过创建和采用标准工作文件来减少可变性,护士被赋予了一个术前时间框架,在这个时间框架内完成病人进入手术室所需的护理组成部分。当比较三个月干预期后的干预和基线数据时,注意到总延迟分钟显著减少,从1422分钟减少到799分钟(P < 0.001), FCOTS依从性提高到82%。在三个月的干预期内,估计节省了35,111美元的费用,这表明仅对护理工作流程进行修改就可以提高围手术期的效率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
When Every Minute Counts: Implementing a Preoperative Time-Based Target for Perioperative Nurses to Decrease First-Case On-Time Start Delays.

Improving OR first-case on-time starts (FCOTS) is a multifactorial challenge for perioperative nurses and leaders seeking to improve efficiency. This article describes the implementation of a quality improvement project at a hospital-based ambulatory surgery center to decrease FCOTS delays, which did not allow the organization to meet its FCOTS adherence goal of 80% or higher, averaging 59% in 2023. Through the creation and adoption of standard work documents to reduce variability, nurses were given a preoperative time frame within which to complete the nursing components required to prepare a patient for the OR. When comparing intervention and baseline data after the three-month intervention period, a significant reduction in total minutes delayed was noted-from 1,422 to 799 minutes (P < .001)-as well as an improvement in FCOTS compliance to 82%. Estimated cost savings were $35,111 for the three-month intervention period, demonstrating that modifications to nursing workflows alone can improve perioperative efficiencies.

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来源期刊
Aorn Journal
Aorn Journal Nursing-Medical and Surgical Nursing
CiteScore
1.10
自引率
11.10%
发文量
229
期刊介绍: The AORN Journal provides professional perioperative registered nurses with evidence-based practice information needed to help meet the physiological, behavioral, safety, and health system needs of a diverse patient population. Journal content supports the clinical, research/quality improvement, education, and management strategies related to the nurse''s role in caring for patients before, during, or after operative and other invasive and interventional procedures in ambulatory and inpatient settings.
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