减少择期手术等待时间的围手术期时间管理方法：一项系统综述

Q4 Medicine

British Journal of Health Care Management Pub Date : 2022-12-02 DOI:10.12968/bjhc.2021.0145

D. Rathnayake, M. Clark, Viraj Jayasinghe, Viraj Udayanga, E. Qudairat

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引用次数: 0

摘要

围手术期处理和遵守预定时间对于手术室的高效表现至关重要。这项系统综述调查了有效的围手术期系统对手术护理途径中上游和下游流程及时性的影响，研究了这些方法如何减少患者择期手术的总体等待时间。作者在PubMed、EMBASE、SCOPUS、Web of Science和Cochrane数据库中搜索了2014年1月1日之后发表的文章。同时考虑了随机和非随机研究。共筛选了7543份出版物，其中20份符合分析条件。这些研究在设计、范围、报告结果和总体质量方面差异很大。分析表明，通过有效安排和规划围手术期流程，可以节省大量时间，从而减少患者等待择期手术的总时间。建议采用更高质量的研究设计和严格性进行进一步评估，以得出更确切的结论。

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Perioperative time-management methods to reduce waiting times for elective surgery: a systematic review

Perioperative processes and adherence to scheduled times are crucial for efficient performance in operating theatres. This systematic review investigated the effects of efficient perioperative systems on the timeliness of upstream and downstream processes in surgical care pathways, looking at how these methods could reduce overall patient waiting times for elective surgery. The authors searched PubMed, EMBASE, SCOPUS, Web of Science and Cochrane databases for articles published after 1 January 2014. Both randomised and non-randomised studies were considered. A total of 7543 publications were screened, of which 20 were eligible for analysis. The studies varied widely in design, scope, reported outcomes and overall quality. Analysis demonstrated that a substantial amount of time could be saved through efficient scheduling and planning of perioperative processes, which could reduce overall patient waiting time for elective surgeries. Further evaluation with higher quality study designs and rigour is recommended for firmer conclusions.

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来源期刊

British Journal of Health Care Management Medicine-Health Policy

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： British Journal of Healthcare Management (BJHCM) is the independent monthly journal which is essential reading for all health service managers, policymakers, influencers and commentators. Launched in 1995, BJHCM mixes peer-reviewed management articles with interviews, analysis and comment to bring you a sharp, topical and valuable insight into what"s happening in and around the NHS. To reflect the way that the NHS is changing, the journal has recently received a major face-lift and several new features now appear alongside BJHCM"s excellent state-of-the-art review articles and celebrated columnists.