某院应用MDT管理模式提高首台手术准时开台率的实践探索  

Multi-disciplinary team(MDT)management mode improves the punctuality rate of starting the first surgery in a tertiary hospital

作　　者：尚俊芳 张育芳[1] 苏语瑄 石珂[1] 成丽娜 Shang Junfang;Zhang Yufang;Su Yuxuan;Shi Ke;Cheng Lina(Heping Hospital Affiliated to Changzhi Medical College,Changzhi 046000,Shanxi Province,China)

机构地区：[1]长治医学院附属和平医院,山西省长治市046000

出　　处：《中国医疗管理科学》2024年第2期106-112,共7页Chinese Journal Of Medical Management Sciences

基　　金：长治医学院附属和平医院院级科研基金(HPYJ201903)。

摘　　要：目的探讨MDT管理模式在提高首台手术准时开台率中的应用效果。方法选取2021年1月—12月某三级医院13280例住院手术患者为观察组,同法选取2020年1月—12月该院11111例住院手术患者为对照组。观察组实施MDT管理模式,对照组为常规手术管理,比较MDT管理模式实施前后的首台手术准时开台率及其他相关指标。结果MDT管理模式实施后首台手术准时开台率为53.70%,明显高于实施前的6.55%,差异有统计学意义(P<0.05);实施后与实施前相比,各手术间手术台数均有所增加,每台手术成本降低559.04元,手术患者次均费用下降1848元,手术科室平均住院日下降0.31天。结论在手术管理中应用MDT管理模式,可有效提高首台手术准时开台率,进而提高手术间工作效率,降低手术室成本,提高医院的社会效益和经济效益,值得医院管理应用和推广。Objective To investigate the role of multi-disciplinary team(MDT)management mode in improving the punctuality rate of starting the first surgery.Methods A total of 13,280 inpatients undergoing surgical operations with MDT management in our hospital from January to December 2021 were selected as the observation group,and 11,111 inpatients receiving surigical operations without MDT in our hospital from January to December 2020 were used as the control group.The punctuality rate of starting the first surgery and other related indicators were compared between these two groups.Results The punctuality rate of starting the first surgery was significantly higher in the observation group than in control group(53.70%vs 6.55%;P<0.05).Compared with the control group,more surgeries were operated in the observation group.The cost of each operation decreased by 559.04 yuan,and the average cost of surgery for patients decreased by 1848 yuan.The average hospital stay of surgical patients decreased by 0.31 days(all P<0.05).Conclusion The application of the MDT in surgical management can effectively raise the punctuality rate of starting the first surgery,thereby improving the efficiency of the operating rooms,reducing the surgical cost,and increasing the economic and social benefits of the hospitals.

关 键 词：MDT管理模式 首台手术 准时开台率 精细化管理 应用效果 

分 类 号：R197.323[医药卫生—卫生事业管理]