优化检查流程对患者行增强CT和CT血管造影术耗时和满意度的影响

The effect of using optimizing procedures of CT enhancement scanning and CT angiography examinations on shortens the checkup time and improves patients＇ satisfaction degree

目的 分析患者行增强CT（CTES）和CT血管造影术（CTA）耗时长的原因,优化检查流程,为患者节约检查时间和医疗花费.方法 随机选取进行CTES和CTA检查的门诊患者2328例和住院患者1402例作为优化检查流程前的对照组,优化检查流程后随机抽取进行CTES和CTA检查的门诊患者2085例和住院患者793例作为试验组.分析患者耗时长的原因,比较对照组和试验组检查耗时和满意度.结果 带错对比剂、未带对比剂、无辅助检查结果、排错队以及打开对比剂瓶盖是导致患者CTES和CTA检查耗时长的主要因素.对照组住院患者和门诊患者检查时间分别为（119.8±15.6）min和（31.5±8.6）min,试验组住院患者和门诊患者检查时间分别为（55.2±10.6）min和（8.4±2.1）min.对照组住院患者和门诊患者满意度分别为90.16%（1264/1402）和88.66%（2064/2328）;试验组住院患者和门诊患者满意度分别为98.49%（781/793）和97.94%（2042/2085）.试验组检查时间低于对照组（t住院=34.96,P住院〈0.01,t门诊=12.03,P门诊〈0.01）,而满意度高于对照组（χ2住院=55.20,P住院〈0.01,χ2门诊=146.27,P门诊〈0.01）,差异均有统计学意义.结论 优化CTES和CTA检查流程后,明显缩短了患者的检查耗时,并明显提高了患者满意度.

Objective To analyze the causes of time consumption in CT enhancement scanning （CTES） and CT angiography （CTA） examinations in order to optimize the procedures, and help to save time and medical costs for patients. Methods A total of 2328 outpatients and 1402 inpatients to take CTES and CTA examinations were randomly selected as the normal control group, and another 2085 outpatients and 793 inpatients who underwent the optimized procedures were randomly selected as the experimental group. The problems of time consumption and patients＇satisfaction degree were analyzed. Results The major causes for time consumption in CTES and CTA examinations included taking wrong contrast medicine, forgetting to take contrast medicine, having no auxiliary examination results, waiting in the wrong line, and opening the cap of contrast medicine. The time spent for checkup for inpatients and outpatients in the control and experimental groups was （119.8±15.6） minutes and （31.5±8.6 ） minutes vs （55.2 ± 10.6） minutes and （8.4 ±2.1） minutes. The satisfaction degree of inpatients and outpatients in the control and experimental groups were 90.16%（1264/1402） and 88.66%（2064/2328） vs 98.49%（781/793） and 97.94%（2042/2085）. The experimental group spent shorter time and had higher satisfaction degree than those in the control group, and the differences were statistical significantly, tinpatient=34.96, P〈0.01, toutpatient=12.03, P〈0.01;χ2inpatient=55.20, P〈0.01,χ2outpatient=146.27, P〈0.01. Conclusions After the procedures of CTES and CTA examinations are optimized, the checkup time is significantly shortened, and patients＇ satisfaction degree is remarkably improved.