基于业务流程再造理论的物联网智慧手术室管理系统设计与应用效果分析  

Analysis on the effect of design and application of the management system of IoT smart operation room based on business process reconstruction theory

作　　者：马艳 王翔宇 臧美娜 邢海英 郭聪慧 李庆印 Ma Yan;Wang Xiangyu;Zang Meina;Xing Haiying;Guo Conghui;Li Qingyin(Department of Operation,Fuwai Hospital of Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100037,China;Postoperative Recovery Room of Pediatric Surgery,Fuwai Hospital of Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100037,China;Nursing Research Room,Fuwai Hospital of Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing,100037,China)

机构地区：[1]中国医学科学院阜外医院手术室,北京100037 [2]中国医学科学院阜外医院小儿外科恢复室,北京100037 [3]中国医学科学院阜外医院护理科研室,北京100037

出　　处：《中国医学装备》2025年第2期109-115,共7页China Medical Equipment

基　　金：中央纵向-高水平医院临床科研业务费资助(2022-GSP-QZ-9)。

摘　　要：目的:基于业务流程再造理论设计物联网智慧手术室管理系统,探讨其在提升手术室管理效能中的应用效果。方法:基于中国医学科学院阜外医院原有的手术室信息系统、手术室相关制度、工作流程及标准,针对手术室管理中的关键节点存在问题进行流程再造,设计基于业务流程再造理论的物联网智慧手术室管理系统。选取2022年1月至12月在本院进行心血管外科相关手术的13 159例患者的手术资料,以系统应用前后为节点分为应用前组(6 483例)和应用后组(6 676例),自制满意度调查问卷,调查13名医辅人员对系统应用前后的满意度评分,对比医辅人员接送患者情况、麻醉准备时长、术前等待时长、连台手术间隔时长和同比手术量下手术衣使用量指标数据。结果:系统应用后手术患者转运效率为(1.38±0.09)台/h,高于应用前的(0.99±0.09)台/h,差异有统计学意义(t=6.604,P<0.05);医辅人员满意度评分由应用前的3.83(3.33,4.5)分提升到应用后的4.50(4.33,4.83)分,差异有统计学意义(Z=2.02,P<0.05);系统应用后麻醉准备时长和术前等待时长分别为(62.04±2.29)和(8.09±2.46)min,均少于应用前,差异有统计学意义(t=2.309、2.280,P<0.05);系统应用后同比手术量下手术衣使用量为(4.11±0.57)件/例,少于应用前的(5.81±0.29)件/例,差异有统计学意义(t=6.489,P<0.05)。结论:基于业务流程再造理论的物联网智慧手术室管理系统的应用能够为患者提供更加安全、优质和高效的医疗服务,提高手术室工作效率和管理效能,降低资源消耗和运营成本。Objective:To design a management system of internet of things(IoT)smart operation room based on business process reconstruction theory,and explore the application effect of that in improving management effectiveness for operation room.Methods:Aimed at the existing problems of key points in the management for operation room,the process was reconstructed on the basis of the original information system,relevant systems,workflows and standards of operation room of Fuwai Hospital of Medical Sciences and Peking Union Medical College.Then,a management system of IoT smart operation room based on business process reconstruction theory was designed.The surgical data of 13159 patients who underwent relevant operation of cardiovascular surgery from January to December 2022 were selected,and they were divided into“before-application”group(6483 cases)and“after-application”group(6676 cases)according to the point before and after the system was applied.Some indicators’data,which included scheduling management situation of picking up and dropping off patients by medical auxiliaries,duration of preparing anesthesia,duration of preoperative waiting,interval duration of continuous surgery and usage amount of surgical gowns under same amount of surgery,between two groups were compared.Results:The transportation efficiency of patients who underwent surgery after system was applied was(1.38±0.09)surgeries/h,which was higher than(0.99±0.09)surgeries/h before it was applied,and the difference was statistically significant(t=6.604,P<0.001).The satisfaction score of medical auxiliaries increased from 3.83(3.33,4.5)before application to 4.50(4.33,4.83)after application,and the difference was significant(Z=2.02,P<0.05).The duration of preparing anesthesia and duration of preoperative waiting after the system was applied were respectively(62.04±2.29)and(8.09±2.46)min,both of which were less than those before the system was applied,and the differences of them between two groups were statistically significant(t=2.309,2.280,P<0.05)

关 键 词：业务流程再造理论 物联网 智慧管理 手术室管理系统 

分 类 号：R197.3[医药卫生—卫生事业管理]