现象学视角下手术室效率分析与改进策略研究——以某三甲中医骨伤医院为例  

Efficiency analysis and improvement strategies for operating room from a phenomenological perspective:a case study from a tertiary TCM orthopedic hospital

作　　者：杜霄 原鹏 付卓 翟书会 王子凡[2] 周翔 DU Xiao;YUAN Peng;FU Zhuo;ZHAI Shuhui;WANG Zifan;ZHOU Xiang(Henan Luoyang Orthopedic Hospital(Henan Provincial Orthopedic Hospital),Luoyang 471002,China;The Second Affiliated Hospital,Xinxiang Medical University,Xinxiang 453002,China;Luoyang Central Hospital,Luoyang 471000,China)

机构地区：[1]河南省洛阳正骨医院//河南省骨科医院,河南洛阳471002 [2]新乡医学院第二附属医院,河南新乡453002 [3]洛阳市中心医院,河南洛阳471000

出　　处：《现代医院》2025年第2期198-201,共4页Modern Hospitals

基　　金：河南省中医药文化与管理研究项目(TCM2023020)。

摘　　要：目的以现象学视角探讨手术室效率及其影响因素,并提出相应的改进策略。方法采用现象描述学方法,通过对河南省某三甲中医骨伤医院手术团队成员的深度访谈,收集并分析其对手术室效率的多维度理解。结果手术团队成员对效率有8类不同的理解方式,整体理解框架倾向于组织导向,同时对制约效率的因素有人性化的思考。结论统一认识对于提高效率、提升质量至关重要。可通过实施精益管理优化手术室流程和以人为本进行队伍建设的改进策略来提高手术室效率。研究还指出未来研究应纳入更多的患者观点。Objective To explore the efficiency of operating room(OR)and its influencing factors from a phenomenological perspective,proposing corresponding improvement strategies.Methods A phenomenological method was adopted,involving in-depth interviews with 13 surgical team members from a tertiary Traditional Chinese Medicine(TCM)orthopedic hospital in Henan Province,to collect and analyze their multifaceted understanding of OR efficiency.Results The study demonstrated eight interpretative ways of efficiency among team members.The overall framework was largely organization-oriented,with additional human-centered considerations regarding the factors influencing efficiency.Conclusion A unified understanding is crucial for improving both efficiency and quality.This study suggests strategies to optimize OR processes through lean management and human-centered team development to enhance operating room efficiency.Additionally,it highlights the need for future research to incorporate more patient views.

关 键 词：手术室管理 效率 质量 精益 团队协作 

分 类 号：R197.4[医药卫生—卫生事业管理] R197.323.4[医药卫生—公共卫生与预防医学]