PDCA循环管理模式在优化白内障日间患者诊疗流程中的应用  

Application of PDCA cycle management mode in optimizing the diagnosis and treatment process of cataract patients with daytime surgery

作　　者：莫伍玲 黄莉琦 卢素芬[1] MO Wuling;HUANG Liqi;LU Sufen(Department of Cataract,Zhongshan Ophthalmic Center,Sun Yat-sen University,Guangzhou 510060,China)

机构地区：[1]中山大学中山眼科中心白内障病区,广州510060

出　　处：《眼科学报》2021年第3期211-214,共4页Eye Science

摘　　要：目的:探讨PDCA循环管理模式在优化白内障日间患者诊疗流程中的应用与成效。方法:选取中山大学中山眼科中心白内障病区2018年9月至2019年12月收治的白内障日间患者400例作为试验对象,选择2018年9月至2019年4月200例患者作为优化前组,选择实施PDCA循环管理模式后的2019年5月至2019年12月的200例患者作为优化后组。统计并比较两组患者实施前后的术前检查时长、住院时长、术后第1天复诊路径及患者满意度。结果:PDCA循环管理法实施了7个月后,患者术前检查时长由优化前的(2.94±2.12)h降至(2.09±0.93)h,住院时长由优化前的(22.73±1.14)h降至(5.22±1.29)h,差异均具有统计学意义(P<0.001);患者满意度由优化前的92%上升至96%(P<0.05);术后第1天,患者复查所需行走的路径缩短,由以前的172 m降至129 m。结论:实施PDCA循环管理模式能有效地改善白内障日间患者的诊疗流程,缩短患者诊疗时间,提高患者的满意度,值得临床推广。Objective:To explore the application and effect of Plan-Do-Check-Act(PDCA)cycle management mode in optimizing the diagnosis and treatment process of cataract patients with daytime surgery.Methods:A total of 400 cases of patients with daytime surgery admitted to Department of Cataract,Zhongshan Ophthalmic Center,Sun Yat-sen University from September 2018 to December 2019 were selected as the experimental subjects.200 patients from September 2018 to April 2019 were selected as the pre-optimization group,and 200 patients from May 2019 to December 2019 after the implementation of the PDCA cycle management mode were selected as the post-optimization group.Time of preoperative examination,length of hospital stay,the follow-up path in the first day after surgery and patient satisfaction were statistically compared between the two groups before and after implementation.Results:Seven months after the implementation of PDCA cycle management mode,the preoperative examination time decreased from(2.94±2.12)h to(2.09±0.93)h,and the length of hospital stay decreased from(22.73±1.14)h to(5.22±1.29)h,and the differences were statistically significant(P<0.001);the patients’satisfaction increased from 92%to 96%(P<0.05);the follow-up path in the first day after operation was changed from the 13th floor(172 m)to the 3rd floor(129 m).Conclusion:The implementation of PDCA cycle management mode can effectively improve the diagnosis and treatment process of cataract patients with daytime surgery,shorten the diagnosis and treatment time and improve the satisfaction of patients,so it is worthy of clinical promotion.

关 键 词：PDCA循环 白内障 日间手术 诊疗流程 

分 类 号：R776.1[医药卫生—眼科] R197.32[医药卫生—临床医学]