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Ukuphutha Kwesikhathi Sokusebenza Kwemithombo Yomsebenzi Nobukhulu Bokusebenza Kwe-OR
Amasistimu Okugcina Okubhalwe Ngokuphelele Nokusebenza Ngokulinganisa Isikhathi Sokufaka Kusuka Emva Kokugcina Kuyaphutha Ubukhulu Bokusebenza Kwebhodla
Izitrokaru ezinokuthiweyo nezinkimbinkimbi eziphambili zinakhiwa ngemiphakathi yezinkimbinkimbi ezinamandla okuhlinza isikhathi sokuguqula izinkambo, futhi kusobala ukuthi ubunzima bezinkambo baphelele kubunzima bepneumoperitoneum, ngakho abasirijini abangafuni ukuzilungisa ngokushesha. Lezi zinhlelo zezinsizakaliso zingahlanganiswa ngokusebenzisa amandla angama-40 angaphezu kwezinye ezihlukileyo zokusebenzisa kabusha, futhi kusobala ukuthi kuyisisekelo esincane kubuso babo baphinde bakhuluma ngokuphelele. Abasirijini bakhuluma ukuthi bafuna ukuthi bakhuleke kancane ngokuphelele kubunzima bephindela, futhi ukuthi ukuthi kubonakala kubuso babo kuyisisekelo esincane kubuso babo, futhi kusobala ukuthi kungabikho iziphothulo eziningi kubunzima bephindela. Izifundo zokubona izibalo zokugcina kubunzima bephindela zazibonisa ukuthi lezi zinhlelo zinakhiwa ngokuphelele kubunzima bephindela kubunzima bephindela kubunzima bephindela kubunzima bephindela.
Ukukhulula Ukuzimela Kwezindleko Zokuhlinza Futhi Ukukhulula Ukufelwa Kwemisebenzi Yokuhlinza
Ukusebenzisa amatrocar ezinye kuphela kususa umlando wokuphatha okuphakathi kwe-45 ku-90 iminithi okudingekayo ukuphatha kwezinye ezingasetyenziswa kabusha, okunconywa kakhulu ukuvikela lezi zikhungo zokuzimisa noma kufanele zisemthwakweni xa kunezinkinga zokuphatha izinto ngokupheleleyo. Uma sibheka izirport zebhanki zezindawo zokuhlenga, izinkinga zokuphatha kuzoba yizindlela zokubeka isikhathi sokuhlenga ngaphandle kwe-12 percent yezinhlangano zokuhlenga zonke ngonyaka. Lezi zinkinga ziyasebenza ngokuthi izihlangothi zihlukile ngokuphatha noma kunezinkambo zezinto zokuhlenga ezilayishwe emva kokuphatha kuzo. Uma sivikela lezi zikhungo, futhi sivikela abasebenzi ukuphatha izinto eziningi njengezincambo zokuhlenga, amabhamu asekhaya ayathola ama-18 ku-23 amaminithi ekhaya ngalokho lokuhlenga. Lethi isikhathi esingaphansi sinconywa ukuthi izinhlangano eziningi zingafaka ekhaya ngaphandle kokuthi kufanele sifunde abantu abaningi noma sifunde isikhathi sokusebenza ngaphezu kwesikhathi esisitholakala. Ngaphezu kwalokho, kuyenza ukuphatha izinto zokugcina kubalulekile kakhulu ngoba zonke ziyatholakala ngokushesha uma kudingeka.
Izindlela Zokuthenga Kwakho Zokubhukuda Ngokupheleleyo Zokubhukuda Kusuka Kuze Kusetyenziswa Amasistimu Okusebenza Kabusha
Ukuchaza Kwakho Kwokubhukuda Kwakho: Ukunciphisa Kwamandla Esebenzayo, Ukunciphisa Kwemithwalo Yezikhumba Zokufaka Isifuba, Nokukhulula Kwamathuba Okusebenzisa Amasistimu Okusebenza Kabusha Ngosuku Lwesibini Ngaphansi Kwesibini Sase-OR
Ukuchaza okupheleleyo kwokubhukuda kwakho (TCO) kubonisa ukuthi izikhumba zokubhukuda ngokupheleleyo zokubhukuda kwe-laparoscopic zinakwenzela ukunciphisa kwe-17–23% ngosuku lwesibini ngaphansi kwesibini sase-OR ngaphansi kwamasistimu okusebenza kabusha. Lokhu kubonakala kumaqembu amathathu amakhulu:
- Ukukhulula Kwamandla Esebenzayo Yokusebenza Kabusha : Ukucisha, ukuvavanya ukuthi kusenziwa isitshixo, nokubeka emaphaketheni kuyasebenza ngama-120 amahora ngosuku lwesibini ngaphansi kwesibini sase-OR—lokhu kuzokhululwa kabusha ngezikhumba zokubhukuda ngokupheleleyo.
- Ukunciphisa Kwemithwalo Yezinye Iziphakamiso : Izikhumba zokubhukuda ngokupheleleyo zokubhukuda zokubhukuda zizokunciphisa ukusebenzisa izikhumba zokufaka isifuba ngama-40%, okunciphisa izindlela zokuthenga nezindlela zokuhlakula imithwalo yezinto ezingafanele ukubhakwa.
- Ukukhulula Kwamathuba Okungabonakaliyo Okuthengiswa Ngokungabi Nokusebenza Kabusha : Ukugcina kwamakhamba okusebenza kabusha ($1,200–$2,500 ngomunye umkhamba) nokungabi nokusebenza kabusha kwe-isitshixo—okuxhululwa ngokuthi kuyasebenza ngokungabi nokusebenza kabusha kwe-surgical site infection (SSI)—kuyasebenza ngamathuba amakhulu okuthengiswa ngokungabi nokusebenza kabusha. Umunye umsitho wokusebenza kabusha uyakwenza ukuthengiswa ngokungabi nokusebenza kabusha ngama-$20,000 ngokuchaza kwe-CDC ne-AHRQ.
Ngokugcina izindleko zokusebenzisa kabusha—kubandakanya ukuphela kwemithombo, amadetergenti, nokuthakatha kwamandla—ngamathuba okubuyisela ngaphambi kokusebenza, izitrokaru ezinokugcinwa zihlela ubudlelwano bokubhala isibhakabhaka ngokupheleleyo futhi zihlela ubukhulu bokusebenza kanye nobunzima bezempilo zomuntu.
Imibuzo Evame Ukubuzwa
Izimalungelo emikhulu zokusebenzisa izitrokaru ezinokugcinwa kumaphuzu?
Izitrokaru ezinokugcinwa zihlela umsebenzi wokuphuzu ngokujabula ukuthi kufanele kubhekwe indawo yokufaka, ukuvikela ukuthi kuzameka ukususa kwezinto zokuhlanzwa, futhi ukunika ubukhulu bokusebenza kwezinkambo, okuhlela isikhathi sokuphuzu futhi ukunciphisa ukuphazimula kwebhodla.
Izitrokaru ezinokugcinwa ziyiphi izindleko zokuphuzu?
Zinokunika izindleko eziphelele zokusebenzisa ngokupheleleyo ngokuhle ngokuvikela izindleko zokusebenzisa kabusha, ukunciphisa ukuthakatha kwamashilini we-anesthesia ngama-40%, futhi ukuvikela izindleko zokuphuluka kwemithombo kanye nezindleko zokuphuluka kwesikhundla sokuphuzu.
Kungani izitrokaru ezinokugcinwa zihlukanisa ukuthi kuzameka ukuphuzu?
Babulawa ubunzima bezokuchitha nokubulawa kwezinkinga zokuzimisa, bavumela ukuthi iziqu zihlale zihamba ngokwesikhathi bese bazimisa isibonelo sokubulawa kwezinkinga zokuphinda kuzimisa, okungaba yiziqu ezingu-12% ngonyaka.