日间手术信息化平台建设与实践  

Construction and practice of ambulatory surgery informative platform

作　　者：石峰华 黄晓萱 刘倩[1,2] 刘蔚东[2] 莫洋[1,2] SHI Fenghua;HUANG Xiaoxuan;LIU Qian;LIU Weidong;MO Yang(Teaching and Research Section of Clinical Nursing,Xiangya Hospital,Central South University,Changsha,Hunan 410008,P.R.China;Day Surgery Center,Xiangya Hospital,Central South University,Changsha,Hunan 410008,P.R.China)

机构地区：[1]中南大学湘雅医院临床护理教研室,长沙410008 [2]中南大学湘雅医院日间手术中心,长沙410008

出　　处：《华西医学》2021年第2期238-243,共6页West China Medical Journal

基　　金：湘雅医院-北大未名临床与康复研究基金(2015II06)。

摘　　要：目的通过日间手术信息化平台的建立,解决日间手术运营管理过程中的瓶颈问题,提高医院运营效率,保障医疗质量和安全。方法通过对2020年3月-4月中南大学湘雅医院日间手术管理进行业务需求分析和流程优化,构建以患者行为跟踪为核心的日间手术信息化管理平台。结果信息平台上线前后不同预约模式接待耗时比较,差异有统计学意义[(290.45±50.35)vs.(158.58±40.27)s;t=16.040,P<0.001]。平台系统上线后患者对于就诊流程、预约等待时间及整体满意度均高于上线前(P<0.05);系统上线前后患者对医务人员态度差异无统计学意义(P>0.05)。医护人员对系统上线后工作体验的调查结果显示,医护人员认为信息平台的使用能使工作更高效(91.09%)、流程更合理(91.09%)、准确及时掌握患者信息(95.05%)、保障医疗质量和安全(96.04%)、降低医疗成本(88.12%)。结论日间手术信息化平台建设提升了工作效率,改善患者就医体验,保障医疗质量和安全,同时加强了各科室协同。Objective To break through the key problem in the process of ambulatory surgery operation and management,improve the operational efficiency of hospital,and ensure the quality and safety of medical care through new established ambulatory surgery informative platform.Methods Through the analysis of medical requirements and process optimization in ambulatory surgery in Xiangya Hospital,Central South University from March to April,2020,we constructed an ambulatory surgery informative platform centered on patient behavior tracking.Results There was a significant difference in the reception time of different appointment modes before and after the launch of information platform[(290.45±50.35)vs.(158.58±40.27)s;t=16.040,P<0.001].After the platform system went online,patients’satisfaction with the treatment process,appointment waiting time,and overall satisfaction were higher than before(P<0.05);there was no significant difference in patients’attitude towards medical staff before and after the system went online(P>0.05).The results of medical staff’s work experience after the system went online showed that the use of information platform could make the work more efficient(91.09%),the process more reasonable(91.09%),accurately and timely grasp the patient’s information(95.05%),guarantee the medical quality and safety(96.04%),and reduce the medical cost(88.12%).Conclusion The ambulatory surgery informative platform improved our work efficiency and patients’satisfaction,assured the quality and safety of medical care,and strengthen the multi-disciplinary synergy at the same time.

关 键 词：日间手术 信息化平台 质量安全 多学科 

分 类 号：R197.32[医药卫生—卫生事业管理]