基于KPI手术室护理绩效二次分配方案构建及应用  

Construction and application of a secondary allocation scheme for operating room nursing performance based on KPI

作　　者：刘雄涛[1] 邓蕊[1] 李棪臻 董小春 李波[1] 杨欢欢 高雪 秦变妮[1] 井伟婷[1] 赵丽燕[1] LIU Xiongtao;DENG Rui;LI Yanzhen;DONG Xiaochun;LI Bo;YANG Huanhuan;GAO Xue;QIN Bianni;JING Weiting;ZHAO Liyan(The Second Affiliated Hospital of Xi’an Jiaotong University,Xi’an,Shaanxi Province,710004,PRC)

机构地区：[1]西安交通大学第二附属医院,陕西省西安市710004

出　　处：《中国医院》2025年第1期93-97,共5页Chinese Hospitals

摘　　要：目的:探讨从可行性、合理性及公正性的角度利用关键业绩指标法构建手术室绩效二次分配方案,体现薪酬优劳优得,多劳多得,公平透明,激励护理人员积极性,为医疗机构手术室二次绩效分配提供参考。方法:组建科室绩效分配方案小组,查阅相关文献,结合本科室临床实际的绩效分配方案,利用关键业绩指标法构建手术室绩效二次分配方案初稿,通过焦点小组讨论,形成手术室绩效二次分配方案终稿。观察手术室绩效管理前后护理质量的满意度及手术室护理人员对新二次绩效方案的缺陷率。结果:实施绩效改革前后护理人员对绩效改革的满意度由60.9%升高到95.7%,差异有统计学意义(P<0.05);实施新绩效分配方案前后护理质量的缺陷率由13.0%降低到3.4%,差异有统计学意义(P<0.05)。结论:基于KPI手术室绩效分配方案后,手术室实施护理人员岗位绩效分配方案后可以提高护理质量、护理人员工作积极性及护理人员对绩效分配的满意度。Objective:To explore the feasibility,rationality,and fairness of using the Key Performance Indicator(KPI)method to construct a secondary performance allocation scheme for operating rooms.This scheme aims to reflect fair compensation based on work contribution,transparency,and incentivize nursing staff,providing a reference for secondary performance distribution in operating rooms.Methods:A departmental performance allocation team was formed to review relevant literature and incorporate the clinical realities of the department into a preliminary scheme.Using the KPI method and focus group discussions,a finalized secondary performance allocation scheme was developed.Satisfaction with nursing quality and nursing staff defect rates before and after implementing the scheme were observed.Results:After implementing the new performance allocation scheme,nursing staff satisfaction with performance reforms increased significantly from 60.9%to 95.7%(P<0.05).Meanwhile,the defect rate in nursing quality decreased significantly from 13.0%to 3.4%(P<0.05).Conclusion:Implementing the secondary performance allocation scheme based on KPI improved nursing quality,enhanced nursing staff enthusiasm,and increased satisfaction with performance distribution in the operating room.

关 键 词：关键业绩指标法 手术室 绩效考核 二次分配 

分 类 号：R197[医药卫生—卫生事业管理]