| 英文摘要 |
Unnecessary lengthening of preoperative preparation time is proven to increase surgical risk of patients. The average preoperative ECMO preparation time was 47 minutes which is considered to be long. The prolonged time may have been due to the following reasons, 1) Personnel reasons: unclear working responsibilities, repeated material preparations, lack of pertinent information and uncertainties of patient’s ward location; 2) Systemic reasons: no training program, no standard operating procedures, ineffective network for operation coordination, and the lack of an audit system; 3) Facility reasons: Integrated sterilized surgical instruments and drapes availability, long elevator waiting times. Improvement measures we implemented include holding in-service training, making standard operating procedures guidelines for ECMO operations, setting up a personnel dispatch system, simplifying operation coordination network, executing regular auditing procedures, designating an ECMO material case cart, designating an elevator sensor card and regulating its use. The average preoperative ECMO preparation time reduced to 9.6 minutes and our goal of shortening the preoperative preparation time, thus lower the surgical risk of patients and improving the quality of surgical service has been achieved. |
