Ameliyathane ve innovatif yaklaşım

... konulu sunumlar: "Ameliyathane ve innovatif yaklaşım"— Sunum transkripti:

1 Ameliyathane ve innovatif yaklaşım
Dr İsmail Okan

2 Ameliyathane Organizasyon Ameliyat akışı Sterilite Temizlik Aydınlatma
Hasta transportu Hemşire masaları Hasta masası Steril elbiseler Eldivenler Gaz ve spanç sayımı

3 Ameliyathane akışı Hasta servisten istenir
Hemşire transportera heber verir Transporter uygunsa hemen hastayı yatağından sedyeye alır Ameliyathane kapısından başka bir sedyeye aktarılır. Bekleme odasında hasta bekler. Ameliyathane uygun olunca içeri alınır. Yeniden sedyeden ameliyat masasına yatırılır.

4 Ameliyathane yönetiminde matematik modeller
Günlük ameliyat kararları 5 rasyonel öncelik taşır: Maintain patient safety (Hasta güvenliği) Open access to the OR(ameliyathaneye ulaşım) Maximize OR efficiency(ameliyathane max kullanımı) Reduce patient waiting times(hasta bekleme süresinin azaltılması) Personal satisfaction(çalışan tatmini)

5 Game theory Matematikçi John von Neumann. 7 tane nobel ödülü
Game theory: Applications for surgeons and the operating room environment David W. McFadden, et al. Surgery 2012;152: ) Game theory Matematikçi John von Neumann. 7 tane nobel ödülü Sosyal durumların teorisi İnsan gruplarının interaksiyonunu çalışıyor.

6 Mathematical modeling to define optimum operating room staffing for pediatric patients in trauma centers Department of Surgery, Wayne State University, Detroit, MI 48201, USA j ped sur. 2010 The probability of operation within 30 minutes of arrival varies with the number of admits and the percent of penetrating vs blunt injuries The mathematical formula that defined the probability that a pediatric patient would require an operation between the hours of 11 PM and 7 AM varied with both the type of injury (blunt vs penetrating) and the number of admissions at the respective center Trauma centers performing less than 6 pediatric trauma operations per year from 11 PM to 7 AM could conserve resources by using an on-call operating room team. y = 0.01x , y = a/[1+(exp − (x1 − x0)/b)], y = a/[1 + (exp − (x1 − x0)/b)], Trauma centers performing less than 6 pediatric trauma operations per year from 11 PM to 7 AM could conserve resources by using an on-call operating room team.

7 Equation U7 Operating Room Managers' Use of Integer Programming for Assigning Block Time to Surgical Groups: A Case Study. Blake, John; Dexter, Franklin; MD, PhD; Donald, Joan; RN, EdD Anesthesia & Analgesia. 94(1): , January 2002. DOI: / Operating Room Managers’ Use of Integer Programming for Assigning Block Time to Surgical Groups: A Case Study Blake, John T. PhD*,; Dexter, Franklin MD, PhD†,; Donald, Joan RN, EdD‡ Author Information *Department of Industrial Engineering, Dalhousie University, Halifax, Nova Scotia; †Division of Management Consulting, Department of Anesthesia, University of Iowa, Iowa City, Iowa; and ‡Perioperative Services, Mount Sinai Hospital, Toronto, Ontario Equation U7 © 2002 International Anesthesia Research Society . Published by International Anesthesia Research Society. 2

8 Copyright © 2014 American Medical Association. All rights reserved.
From: Maximizing Operating Room and Recovery Room Capacity in an Era of Constrained Resources Arch Surg. 2006;141(4): doi: /archsurg Figure Legend: Schematic and sample floor plan of the pod configuration and patient flow diagram for the pod configuration. Three operating room (OR) suites with adjacent induction rooms (IRs) are supported by a 3-bed mini–postanesthesia care unit (PACU) constructed from a once functional OR. Arrows denote patient flow through the pod; Rec, receiving room. Date of download: 1/21/2014 Copyright © 2014 American Medical Association. All rights reserved.

9 Aydınlatma Tepe lambaları Ameliyat bölge aydınlatması

10 Ameliyat masaları

11 Çalışılan ortam

12 Yüzey

13 Hasta transportu

14 Alet masaları

15 Giysiler ve eldivenler

16 Reliability and performance of innovative surgical double-glove hole puncture indication systems. J Long Term Eff Med Implants. 2003;13(2):69-83. Regent Medical has devised non-latex and latex double-glove hole puncture indication systems