Metrics of efficient use of operating rooms during the SARS-CoV-2 (COVID-19) pandemic.
Introduction: the COVID-19 pandemic has induced a transformation in the way hospitals function, causing a decrease in the time and efforts dedicated to surgical activity, which in turn has caused delays in the surgery schedule of most hospitals. This represents a major public health problem, signifi...
| Publicado en: | Revista Mexicana de Anestesiología Vol. 46; no. 3; pp. 191 - 197 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Colegio Mexicano de Anestesiologia
jul-sep2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=164173091&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 164173091 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 04847903 7L2 jtl: Revista Mexicana de Anestesiología issn: 04847903 maglogo: N pubinfo: dt: jul-sep2023 vid: 46 iid: 3 pid: 20848 pub: Colegio Mexicano de Anestesiologia artinfo: ui: 164173091 10.35366/111075 ppf: 191 ppct: 6 formats: fmt: @attributes: type: P size: 1013KB tig: atl: Metrics of efficient use of operating rooms during the SARS-CoV-2 (COVID-19) pandemic. aug: au: Santiago-López, Janaí León-Ramírez, Víctor Larissa Aguirre-López, Diana affil: Departamento de Anestesiología, Hospital de Cardiología Jefatura de quirófanos, Hospital de Especialidades «Dr. Bernardo Sepúlveda Gutiérrez» Departamento de Anestesiología, Hospital de Especialidades «Dr. Bernardo Sepúlveda Gutiérrez» su: COVID-19 pandemic SARS-CoV-2 Operating rooms Hospitals Public health sug: subj: COVID-19 pandemic SARS-CoV-2 Operating rooms Hospitals Public health keyword: efficiency eficiencia gestión sanitaria health management indicadores indicators México Mexico operating room quirófano eficiencia gestión sanitaria indicadores México quirófano ab: Introduction: the COVID-19 pandemic has induced a transformation in the way hospitals function, causing a decrease in the time and efforts dedicated to surgical activity, which in turn has caused delays in the surgery schedule of most hospitals. This represents a major public health problem, significantly compromising the principle of equity that inspires public health systems throughout the world. To address this problem, it would be of the utmost importance to put in place initiatives to measure and improve surgical efficiency. Objective: evaluate indicators of efficiency in the use of operating rooms during the COVID-19 pandemic. Material and methods: a descriptive, longitudinal retrospective study was conducted on 3554 patients scheduled for surgery during a one-year period of the COVID-19 pandemic. Indicators of efficiency in they use of operating rooms were measured. The data was processed using SPSS v-25.0. Results: a total of 3,554 surgeries were scheduled, 1,309 of them emergency surgeries, 1,979 elective surgeries, and 266 deferred surgeries. The following parameters were estimated: Starting time of the procedure (42.32 ± 37.04 min); opportunity for emergency surgeries (104.69 ± 102.55 min); starting time of anesthesia (10.11 ± 9.85 min); starting time of surgery (40.03 ± 24.68 min); time of admission to post-anesthesia care unit/intensive care unit (PACU/ICU) (15.35 ± 29.94 min); turnover or replacement time (177.97 ± 174.33 min); active surgery time (27.70%). Conclusions: the COVID-19 pandemic negatively impacted the indicators of efficient use of operating rooms, posing new challenges for the management and organization of surgical work. Introducción: la pandemia por COVID-19 ha emplazado una transformación hospitalaria, esto acarreó un decremento de la actividad quirúrgica e implicó un aplazamiento en la programación, lo que representó un problema, ya que comprometió sensiblemente el principio de equidad que inspira a los sistemas sanitarios. Así, resultó imperativa la implementación de iniciativas para medir y mejorar la eficiencia quirúrgica. Objetivo: medir los indicadores de uso eficiente del quirófano durante la pandemia por COVID-19. Material y métodos: se realizó un análisis descriptivo, longitudinal y retrospectivo en 3,554 pacientes programados para cirugía, durante la pandemia en un período de un año, además se midieron los indicadores de uso eficiente del quirófano. Los datos fueron procesados en SPSS v-25.0. Resultados: se programaron 3,554 cirugías, 1,309 urgencias, 1,979 electivas, 266 diferidas. Se estimó un tiempo de inicio del procedimiento 42.32 ± 37.04 min, oportunidad para urgencias quirúrgicas 104.69 ± 102.55 min, tiempo de inicio de anestesia 10.11 ± 9.85 min, tiempo de inicio de cirugía 40.03 ± 24.68 min, tiempo para la admisión en la unidad de cuidados postanestésicos/unidad de terapia intensiva (UCPA/UTI) 15.35 ± 29.94 min, tiempo de rotación o recambio 177.97 ± 174.33 min y tiempo quirúrgico activo 27.70%. Conclusiones: la pandemia por COVID-19 impactó negativamente en los indicadores de uso eficiente del quirófano, lo que implicará nuevos retos en la gestión y organización de la jornada quirúrgica para su mejora. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Revista Mexicana de Anestesiología is the property of Colegio Mexicano de Anestesiologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Revista Mexicana de Anestesiología holder: Colegio Mexicano de Anestesiologia dt: @attributes: year: 2023 holdings: @attributes: islocal: N |
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