三甲医院手术室精细化管理方法探讨

Exploration of Methods of Meticulous Management of Operation Room in Tertiary Hospitals

目的探讨精细化管理在医院手术室管理中的应用效果。方法采用定性与定量调查相结合的方法,定性调查主要采取知情人员访谈,定量调查主要调取了手术相关管理信息。结果该院手术台日均手术例数稳定在较高水平,择期手术晚开台率显著下降。通过出台一系列规章制度、指导意见等,严格把握手术适应症,加强手术相关不良事件等关键环节监控,提高手术室运转效率,保障患者安全。结论精细化管理手术室,抓住关键环节,制定量化的指标,监督考核到位,有利于提高手术室运行效率,保障患者安全。

Objective To explore the effect of application of meticulous management in operation room management of hospital. Methods Qualitative and quantitative survey were adopted in this study. Qualitative study was conducted through interview of informed persons, and relevant management information of surgery were utilized to perform the quantitative survey. Results The average daily operation number in the hospital was stable at a high level. Punctual starting rate increased significantly. A series of rules and guidance, strict analysis of indications for surgery and supervision of surgery related adverse events can improve the efficiency of operation room and protect the safety of patients. Conclusion Meticulous management of operation room, control of key processes, quantitative index can improve the efficiency of operation room and ensure patient safety in hospital.