降低腔镜手术患者接台延迟率
分享到:
发布人:yaot 发布时间:1/21/2021 10:49:42 AM  浏览次数:894次
【字体: 字体颜色


——党笑 柏蒙 张泽昊 段宝玲 杜白茹 王宇


【摘要】针对腔镜手术患者接台延迟情况,开展品管圈活动。对三方核查延迟、护理准备延迟、术间清洁延迟展开原因分析,制定针对性改善对策并执行,包括优化外科医生带教模式、重新规划仪器设备布局等。措施落实使腔镜手术患者接台延迟率从47.22%降低至18.95%,规范了手术患者接台流程,提高了手术室工作效率。
【关键词】品管圈;问题解决型品管圈;腔镜手术;接台时间;延迟率
中图分类号:R197.323;R612文献标识码:B
Reducing the Connection Delay Rate for Patients Receiving Endoscopic Surgery/DANG Xiao,BAI Meng,ZHANG Zehao,et al.//Chinese Health Quality Management,2020,27(6):103-106
Abstract The quality control circle activities were carried out for the patients with delayed access to endoscopic surgery. The causes of delay in tripartite verification, nursing preparation and intraoperative cleaning were analyzed, and targeted improvement measures were formulated and implemented, including optimizing the teaching mode of surgeons, replanning the layout of instruments and equipment, etc. The implementation of the measures reduced the delay rate of endoscopic surgery to 18.95% from 47.22%, standardized the procedure of surgery connection, and improved the working efficiency of the operating room.
Key words Quality Control Circle;Problem Solving Type Quality Control Circle; Endoscopic Surgery; Operation Connection Time; Delay Rate
Firstauthor's address First Affiliated Hospital of Air Force Military Medical University, Xi'an,Shaanxi,710032,China



1主题选定

   全体圈员从上级重视程度、重要性、迫切性、圈能力、本期达成性5个维度,采用5-3-1评分法和权重法对5个备选主题进行评价,确定得分最高的“降低腔镜手术患者接台延迟率”为本期活动主题。
   名词定义:手术接台时间即上一台患者出手术室到下一台患者切皮开始的时间。依据文献[1],将超过规定接台时间(60min)记为手术接台延迟。
   衡量指标:腔镜手术接台延迟率=延迟手术台数÷接台腔镜手术总台数×100%。
   选题背景:手术室运转效率决定医院整体效率[2]。有文献称,仅18%~26%的手术接台时间控制在60min以内[1]。一间手术室的运行成本为22美元/min~133美元/分钟,平均为62美元/min[3],每拖延1min将会造成20美元的额外医疗支出[4]。降低腔镜手术患者接台延迟率,有利于提高手术室工作效率,进而提高整体医疗质量[5]。

……

原文链接:降低腔镜手术患者接台延迟率