流程优化对神经外科手术室工作效率的影响

Influence of Process Optimization on Working Efficiency of Neurosurgery Operation Room

目的研究流程优化对神经外科手术室工作效率的影响。方法通过对手术室现有资源的合理运用，关键时间点的确立。成立手术供应保障团队，人力资源优化重组，建立手术医生喜好卡等流程优化的实施，评价其对手术室效率的影响。结果优化流程后（2012年1—6月）第1台手术切皮时间准时率由45．3％提高到86．5％；连台手术衔接时间缩短了8～11min，护士人均手术量由100．05台增加到114．29台；每Et人均配合手术时间由615．5min减少到585．5min；医生满意度由88．3％提高到98．5％，患者满意度由85．5％提高到97．6％。结论流程优化过程中合理利用有效资源，重视时间管理，成立手术保障团队，优化重组人力资源，建立手术医生喜好卡等，可提高神经外科手术室工作效率。

Objective To study the influence of process optimization on efficiency of neurosurgery operation room. Methods Measures of process optimization including appropriate application of resources in operation room, identification of critical time point, establishing an operation supply support team, cards with doctors＇ preference were developed and their influence on the efficiency of operation room was evaluated. Results Punctuality rate of skin incision was improved from 45.3% to 86.5% and the convergence time for the surgery was shortened about 8 min to 11 min. Average operations for nurses increased from 100.05 to 114.29 and mean time for operation cooperation everyday decreased from 615.5 min to 585.5 min. Both doctors and patients were more satisfied with the operation. Conclusion Measures in process optimization benefits the improvement of efficiency in operation room.