{"title":"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。","authors":"Sherri Crumley, Audrey Klopp, William Duffy","doi":"10.1002/aorn.14381","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":54317,"journal":{"name":"Aorn Journal","volume":"122 2","pages":"82-91"},"PeriodicalIF":1.1000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"When Every Minute Counts: Implementing a Preoperative Time-Based Target for Perioperative Nurses to Decrease First-Case On-Time Start Delays.\",\"authors\":\"Sherri Crumley, Audrey Klopp, William Duffy\",\"doi\":\"10.1002/aorn.14381\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":54317,\"journal\":{\"name\":\"Aorn Journal\",\"volume\":\"122 2\",\"pages\":\"82-91\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Aorn Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/aorn.14381\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aorn Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/aorn.14381","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"NURSING","Score":null,"Total":0}
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.
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.