PDCA循环在缩短日间手术术前等待时间中的效果评价  

Evaluation of the Effect of PDCA Circulation on Shortening the Waiting Time Before Day Operation

作　　者：饶春梅[1] 陈小芳[1] 张美琴 卓玉双 李燕萍[1] 陈付红[3] RAO Chunmei;CHEN Xiaofang;ZHANG Meiqin;ZHUO Yushuang;LI Yanping;CHEN Fuhong(Day Surgery Center Ward,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China;Department of Medicine,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China;Department of Nursing,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361003,China)

机构地区：[1]厦门大学附属第一医院日间手术中心病房,福建厦门361003 [2]厦门大学附属第一医院医务部,福建厦门361003 [3]厦门大学附属第一医院护理部,福建厦门361003

出　　处：《中国卫生标准管理》2024年第5期189-194,共6页China Health Standard Management

基　　金：国家卫生健康委医院管理研究所2023年医疗质量(循证)管理研究重点项目(YLZLXZ23K011)。

摘　　要：目的探讨运用PDCA程序缩短日间手术患者术前准备等待时间,进而符合院感防控的管理模式。方法采用PDCA循环管理方法,以建立多学科合作机制、精准安排患者入院时间、合理规划术前等待区域等改进方案。2022年1月8日—21日的日间手术患者316例为对照组,2022年3月26日—5月8日,实施PDCA改善后的日间手术患者为PDCA组。对2组患者术前等待时间、患者术前等候期满意度进行比较。结果日间手术患者平均等待时间由对照组的184.36 min,降低至PDCA组的47.64 min,满意度由81.01%提升至96.11%,前后比较差异有统计学意义(P<0.001)。结论日间手术短平快的运作方式与感染控制理念相融合,需要各医院根据业务区域特点及患者需求做有效的患者术前分流措施,对于提升患者就医体验、降低院感发生率、护患满意度具有重要意义。Objective To explore the management mode of shortening the waiting time of preoperative preparation by PDCA program under the epidemic situation of hospital infection.Methods PDCA procedure was adopted to establish a multidisciplinary cooperation mechanism,accurately arrange the admission time of patients,reasonably plan the preoperative waiting area and other measures,a total of 316 patients with day surgery from January 8 to 21,2022 were taken as the control group,and the patients improved by PDCA from March 26,2022 to May 8,2022 were taken as the observation group.The preoperative waiting time and satisfaction of patients in the two groups were compared.Results Before and after this PDCA procedure,the PDCA group was better than the control,the average waiting time of patients undergoing daytime surgery decreased from 184.36 minutes to 47.64 minutes,and the patient satisfaction increased from 81.01%to 96.11%,the difference were statistically significant(P<0.001).Conclusion The short and fast operation mode of daytime surgery and integrate with epidemic prevention and control,requires hospitals to take effective preoperative diversion measures according to the characteristics of operation areas and patients'needs,which is of great significance to improve patients'medical experience,reduce the incidence of Hospital Infection and staff satisfaction.

关 键 词：日间手术 术前准备 等待时间 医院感染 人员密度 满意度 

分 类 号：R473[医药卫生—护理学]