精细化管理对腹腔镜下腹股沟疝日间手术运行效率的影响  

The effect of fine management on the efficiency of laparoscopic inguinal hernia day surgery

作　　者：刘伟[1] 丁晓寒 邹振玉 王景媛 向承红[1] Wei Liu;Xiaohan Ding;Zhenyu Zou;Jingyuan Wang;Chenghong Xiang(Operating Room,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100043,China;Department of Hernia and Abdominal Wall Surgery,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100043,China;Capital University of Medical Sciences,Gynecology Department of Beijing Century Altar Hospital,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京朝阳医院手术室,100043 [2]首都医科大学附属北京朝阳医院疝和腹壁外科,100043 [3]首都医科大学附属北京世纪坛医院妇科,100038

出　　处：《中华疝和腹壁外科杂志（电子版）》2024年第2期234-237,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨精细化管理对腹腔镜下腹股沟疝日间手术运行效率的影响。方法选取2022年6月至2023年6月在北京朝阳医院手术室行腹腔镜腹股沟疝日间手术患者233例为研究对象进行回顾性分析。将2022年6至12月的127例患者设为对照组,2023年1至6月的106例患者设为观察组。对照组采用常规管理模式开展手术配合,观察组采用精细化管理开展手术配合。比较2组手术患者入室运送时间、入室后等待时间、手术当日取消率、术后计费延迟率、首台开台准点率。结果观察组患者入室运送时间、入室后等待时间短于对照组,差异均有统计学意义(P<0.05);观察组手术当日取消率、术后计费延迟率低于对照组,观察组首台开台准点率高于对照组,差异均有统计学意义(P<0.05)。结论采用精细化管理模式可以显著提高腹腔镜下腹股沟疝日间手术的运行效率、手术室日间手术管理质量。Objective To investigate the effect of fine management on the efficiency of laparoscopic inguinal hernia day surgery.Methods A total of 233 patients undergoing laparoscopic inguinal hernia day surgery in the operating room of Beijing Chaoyang Hospital from June 2022 to June 2023 were selected and analyzed retrospectively.A total of 127 patients from June 2022 to December 2022 were selected as the control group,and 106 patients from January to June 2023 were selected as the observation group.The control group used the conventional management mode to carry out the operation,the observation group used the fine management to carry out the operation.The transport time,waiting time after entering the room,cancellation rate on the day of operation,delayed rate of postoperative billing and on-time rate of the first operation were compared between the two groups.Results The transport time,waiting time after entering the room in the observation group were significantly shorter than the control group,(P<0.05).The cancellation rate on the day of operation and the rate of postoperative billing delay in the observation group were significantly lower than those in the control group,and the on-time rate of the first operation in the observation group was higher than that in the control group(P<0.05).Conclusion The adoption of fine management mode can significantly improve the efficiency of laparoscopic inguinal hernia day surgery,and significantly improve the quality of operating room management of day surgery.

关 键 词：腹腔镜 腹股沟疝 精细化管理 疝修补术 日间手术 

分 类 号：R656.21[医药卫生—外科学]