日间手术全周期闭环智慧系统管理实践与成效  

Practice and effectiveness of a computerized management system for full-cycle,closed-loop management of day surgery

作　　者：郑军[1] 徐薇[2] 张铭[1] 钱敏[3] 颜芳[4] Zheng Jun;Xu Wei;Zhang Ming;Qian Min;Yan Fang(Department of Day Surgery,Northern Jiangsu People′s Hospital,Yangzhou 225000,China)

机构地区：[1]江苏省苏北人民医院日间手术病房,江苏扬州225000 [2]江苏省苏北人民医院质控中心护理质控科,江苏扬州225000 [3]江苏省苏北人民医院入院服务中心,江苏扬州225000 [4]江苏省苏北人民医院日间手术室,江苏扬州225000

出　　处：《护理学杂志》2022年第3期1-5,共5页Journal of Nursing Science

基　　金：2020年扬州科技计划-社会发展项目(YZ2020090)。

摘　　要：目的探讨日间手术全周期闭环智慧系统对日间手术的管理效果。方法应用智慧系统实施日间手术全周期质量闭环管理,实现预约检查手术、手术精准确认、医护患全程手术信息共享,多维度宣教知识精准推送,按时逐级完成出院随访、过程质量控制等。结果应用智慧系统管理后,患者术前检查完成率、病情评估完成率、麻醉访视完成率、首台准时麻醉率、手术预估时长准确率、患者相关知识知晓率、出院随访率、患者满意度显著高于应用前,接台时间显著短于应用前(均P<0.01)。结论应用智慧系统对日间手术实施全周期闭环智能管理,显著提高了手术效率与患者满意度。Objective To evaluate the effectiveness of a self-designed computerized management system for full-cycle,closed-loop management of day surgery.Methods A computerized management system was developed to implement full-cycle and closed-loop control of day surgery,including making appointment for examination and surgery,precise verification of surgery,information sharing during the entire surgery among surgeons,nurses and patients,accurately sending disease-related knowledge to patients,conducting follow-ups after discharge on time,and process quality control.Results After applying the computerized management system,the rates of completion of preoperative examination,patient condition assessment,and preoperative visit by an anesthetist,the rates of start-in-time of anesthesia for the first surgery of the day,accurate estimation of operation duration,patient′s awareness of disease-related knowledge,and follow-up after discharge,as well as patient satisfaction were significantly enhanced,whereas the turnover time between two consecutive surgeries was significantly shortened(P<0.01 for all).Conclusion Application of the smart management system for full-cycle and closed-loop control of day surgery,can improve work efficiency and patient sa-tisfaction.

关 键 词：日间手术 手术管理模式 信息化 智慧管理系统 全周期管理 手术信息 信息共享 

分 类 号：R472.3[医药卫生—护理学] TP393[医药卫生—临床医学]