首页|PDCA循环在缩短日间手术术前等待时间中的效果评价

PDCA循环在缩短日间手术术前等待时间中的效果评价

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

day surgerypreoperative preparationwaiting timehospital infectionpersonnel densitydegree of satisfaction

饶春梅、陈小芳、张美琴、卓玉双、李燕萍、陈付红

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厦门大学附属第一医院日间手术中心病房,福建厦门 361003

厦门大学附属第一医院医务部,福建 厦门 361003

厦门大学附属第一医院护理部,福建 厦门 361003

日间手术 术前准备 等待时间 医院感染 人员密度 满意度

国家卫生健康委医院管理研究所医疗质量循证管理研究重点项目(2023)

YLZLXZ23K011

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(5)
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