[1]成月佳徐云华侯旭敏茅腾徐婷婷吴镜湘侯冷晨余松轩.矩阵式管理在胸部手术加速康复外科的实践效果研究[J].中国卫生质量管理,2021,28(12):1-3.[doi:10.13912/j.cnki.chqm.2021.28.12.01 ]
　CHENG Yuejia,XU Yunhua,HOU Xumin.Practice of Enhanced Recovery After Surgery in Thoracic Surgery Based on Matrix Management Mode[J].Chinese Health Quality Management,2021,28(12):1-3.[doi:10.13912/j.cnki.chqm.2021.28.12.01 ]

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矩阵式管理在胸部手术加速康复外科的实践效果研究

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年12期页码: 1-3 栏目: 特别关注出版日期: 2021-12-28

Title:: Practice of Enhanced Recovery After Surgery in Thoracic Surgery Based on Matrix Management Mode

作者:: 成月佳徐云华侯旭敏茅腾徐婷婷吴镜湘侯冷晨余松轩; 上海市胸科医院/上海交通大学附属胸科医院

Author(s):: CHENG Yuejia; XU Yunhua; HOU Xumin; Shanghai Chest Hospital,Chest Hospital Affiliated to Shanghai Jiao Tong University

关键词:: 矩阵式管理; 胸部手术; 加速康复外科; 多学科诊疗

Keywords:: Matrix Management Mode; Thoracic Surgery; Enhanced Recovery After Surgery; Multidisciplinary Diagnosis and Treatment

分类号:: R197.323；R655；R614

DOI:: 10.13912/j.cnki.chqm.2021.28.12.01

文献标志码:: B

摘要:: 借助矩阵式管理策略，建立胸外专业加速康复外科组织管理架构，依据医疗职能形成垂直化管理纵向小组，围绕ERAS关键环节建立扁平化管理横向小组，将纵向小组的专业化与横向小组的目标化紧密融合，形成胸部手术加速康复外科工作方案。在矩阵式管理下，纵隔手术患者手术麻醉时间有效缩短，手术当天下床活动比例、手术当天恢复进食比例、术后24 h出院率均得以提高。矩阵式管理打破了部门间壁垒，提高了ERAS管理效能，为ERAS在胸外专业的推广提供了参考。

Abstract:: By means of matrix management strategy, the organization management structure of Enhanced Recovery After Surgery (ERAS) in thoracic surgery was established. Vertical management teams were formed according to medical functions, and flat horizontal management teams were established around ERAS key links. The specialization of vertical team and the target of horizontal team were closely integrated to form the working plan of ERAS of thoracic surgery. Under matrix management, the anesthesia time of patients undergoing mediastinal surgery was effectively shortened, the proportion of getting out of bed on the day of surgery, the proportion of eating on the day of surgery and the discharge rate 24h after surgery were improved. Matrix management breaks the barriers among departments, improves the management efficiency of ERAS, and provides a reference for the promotion of ERAS in thoracic specialization.

参考文献/References:

［1］江志伟，李宁，黎介寿. 快速康复外科的概念及临床意义［J］.中国实用外科杂志,2007,27(2):131-133. ［2］中华医学会外科学分会，中华医学会麻醉学分会. 加速康复外科中国专家共识及路径管理指南(2018版)［J］.中国实用外科杂志,2018,38(1):1-20. ［3］周孟华，姜洪池. 术后加速康复的现状与展望［J］.中国普外基础与临床杂志,2019,26(11):1269-1272. ［4］江志伟，黎介寿. 加速康复外科的现状与展望［J］.中华外科杂志,2016,54(1):6-8. ［5］杜娜，郭成林，杨梅，等. 加速康复外科在中国大陆胸外科临床现状：基于胸外科医生及护士调查分析［J］.中国肺癌杂志,2017,20(3):157-162. ［6］张茜，仵晓荣，刘红梅. 我国加速康复外科护理的发展现状及前景［J］.护理研究,2018,32(23):3660-3663. ［7］荚卫东. 加速康复外科多学科团队建设［J］.中华外科杂志,2018,56(1):14-17. ［8］张琼，吕德珍，余娜，等. 构建ERAS理念下机器人手术管理模式［J］.中国卫生质量管理,2020,27(6):91-95. ［9］胡龙军，张戟，李济宇，等. 基于矩阵式管理模式的三级综合医院行风建设探讨［J］.中华医院管理杂志,2020,36(11):926-930. ［10］Batchelor T, Rasburn NJ, Abdelnour BE, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS) Society and the European Society of Thoracic Surgeons (ESTS)［J］.Eur J Cardiothorac Surg,2019,55(1):91-115. ［11］陈彩虹. 如何认识公司的“矩阵式管理”［J］.中国发展观察,2019(10):49-50. ［12］赵付玲，许益坚，项惠，等. 人民银行财务预算管理“矩阵式”模式研究［J］.金融理论与实践,2018(2):97-102. ［13］严娟，方小萍，戴卉，等. 术后加速康复项目的医疗管理价值评价［J］.中国医院管理,2019,39(3):38-39. ［14］金春林，王海银，孙辉，等. 价值医疗的概念、实践及其实现路径［J］.卫生经济研究,2019,36(2):6-8. ［15］张贱明，葛文静，丁希辰. 基于矩阵式定位模型的集团公司组织机构管理方法设计［J］.价值工程,2017,36(32):72-74. ［16］曹庆，王颖，朱毅. 关于加速康复外科理念在日间手术应用的探讨［J］.中国康复医学杂志,2020,35(7):876-880.

更新日期/Last Update: 2021-12-28