基于“飞常准”的个人数字助理信息系统在三级甲等医院手术运营管理中的应用研究  

Research on the application of personal digital assistant information system based on“VariFlight”in the operation management of third-grade class-A hospital

作　　者：薛超莉 高巨[1] 薛海霞[1] 徐道亮[2] 束余声[2] XUE Chaoli;GAO Ju;XUE Haixia;XU Daoliang;SHU Yusheng(Department of Anesthesiology,Northern Jiangsu People’s Hospital,Yangzhou,Jiangsu 225001,P.R.China;Office of the Dean,Northern Jiangsu People’s Hospital,Yangzhou,Jiangsu 225001,P.R.China)

机构地区：[1]江苏省苏北人民医院麻醉科,江苏扬州225001 [2]江苏省苏北人民医院院长室,江苏扬州225001

出　　处：《华西医学》2023年第1期91-97,共7页West China Medical Journal

基　　金：国家自然科学基金(82001170);江苏省苏北人民医院院级课题(SBKY21071)。

摘　　要：目的探讨运行个人数字助理(personal digital assistant,PDA)信息系统对手术运营的影响,为提高手术运营效率、构建医疗科研数据库提供依据。方法回顾性分析江苏省苏北人民医院2018年10月1日—2020年9月30日行手术治疗的患者资料。根据是否运行PDA信息系统,将2018年10月1日—2019年9月30日未使用PDA信息系统行手术治疗的患者作为对照组(运行前),将2019年10月1日—2020年9月30日使用PDA信息系统行手术治疗的患者作为干预组(运行后)。分析PDA信息系统运行前后的手术运营质态、麻醉开台时间、手术开台时间及手术时长等手术运营指标。结果共纳入患者59610例。其中,对照组27726例,干预组31884例。与运行前比较,PDA信息系统运行后的总年手术量年增长了4158例(15.00%),每个术间的周转率提高17.10%;平均麻醉开台时间提前14.52 min;平均手术开台时间提前18.25 min。除胃肠中心手术、胸外科手术、神经科手术、创伤中心手术、重症监护病房病区手术、胆胰科手术、肝脾科手术、其他类型手术外(P>0.05),其他手术运行前后的手术时长比较,差异均有统计学意义(P<0.05)。结论基于“飞常准”的PDA信息系统更加精细地量化了手术运营质态,有效提升了医院手术运营效率效益,缩短了手术时长,有助于构建医疗科研数据库。Objective To explore the impact of personal digital assistant(PDA)information system on surgery operations,so as to provide basis for improving the efficiency of surgery operations and building medical research databases.Methods The data of patients undergoing surgical treatment in Northern Jiangsu People’s Hospital between October 1,2018 and September 30,2020 were retrospectively analysised.According to whether to operate the PDA information system,the patients who did not use the PDA information system for surgical treatment between October 1,2018 and September 30,2019 were taken as the control group(before the operation),and the patients who used the PDA information system for surgical treatment between October 1,2019 and September 30,2020 were taken as the intervention group(after the operation).The quality of surgical operation,the time of anesthesia opening,the time of opening operation,the length of operation,and other operation indicators before and after the operation of the PDA information system were analyzed.Results A total of 59610 patients were enrolled,including 27726 in the control group and 31884 in the intervention group.Compared with before the operation of the PDA information system,the total annual operation increased by 4158 cases(15.00%),and the average turnover of per operation room increased(17.10%).The average anesthesia opening time is 14.52 minutes earlier.The average operation opening time is18.25 minutes earlier.Except for gastrointestinal center surgery,thoracic surgery,neurology surgery,trauma center surgery,intensive care unit ward surgery,biliary and pancreatic surgery,hepatosplenic surgery,and other types of surgery(P>0.05),other types of surgeries were statistically significant differences in the operation duration before and after other operations(P<0.05).Conclusions The PDA information system developed based on"VariFlight"quantifies the quality of surgical operations more finely.It can effectively improve the operation efficiency and economic benefits of surgery,shorten the

关 键 词：大数据 个人数字助理信息系统 手术运营 运营效率 医院管理 

分 类 号：R197.32[医药卫生—卫生事业管理]