基于就诊量的采血中心护理服务效率分析及人力资源配置研究

Study on the efficiency of nursing service and the allocation of human resources in blood collection center based on visiting volume

目的通过分析采血中心就诊人次时间变化规律，为评价护理服务效率及合理配置采血岗位人力资源提供科学依据。方法通过回顾性分析2016年采血中心不同季度、不同工作日及不同时间段就诊人次情况，得出就诊量时间变化规律；运用一种排队分析系统评价不同就诊量情况下的护理服务效率并提出最优化的人力资源配置方案。结果采血中心就诊量一年内第一季度最低，第二季度明显增加，第三季度达到高峰，第四季度相对减少；各工作日周一、二、三较高，周四、五较少；不同时间段内上午就诊量明显高于下午，其中上午高峰期集中在8：00-9：00、下午高峰期集中在14：00-15：00；采血中心现阶段人力资源配置情况下，就诊量高峰季护士服务强度大、效率低，患者等候时间长，就诊量低峰季，护士服务强度低，空闲时间长，造成资源浪费，量化配置后护士服务强度合理，工作效率高，患者有效诊疗时间增加。结论依据就诊量时间变化规律可以科学分析护理服务效率，量化配置护理人力资源，为医院管理提供科学依据。

Objective To provide scientific basis for evaluating the efficiency of nursing service and reasonable allocation of human resources in blood collection by analyzing the time variation of visiting time in blood collection center. Methods Through the retrospective analysis of 2016 in different seasons and different blood centers working day and different time visits, obtains the variation of visits time; using a queuing analysis to evaluate different visits under the condition of nursing service efficiency and puts forward the scheme of optimal allocation of human resources. Results The blood center visits within one year of the first quarter of the lowest, the second quarter increased significantly, reaching the peak at the third quarter, the fourth quarter is relatively reduced; the work on Monday, Thursday, two or three high, five less; morning visits in different time was significantly higher than that in the afternoon, the morning peak on the 8：00-9：00 and 14：00-15：00 concentration in the afternoon peak; the situation of human resource allocation at this stage of blood centers, visits the peak season of nurse service intensity and low efficiency, the patients waiting for a long time, visits the low peak season, the nurse service intensity was low, idle for a long time, resulting in a waste of resources, quantitative configuration after the nurse service reasonable intensity, high work efficiency, effective treatment time of patients increased. Conclusions According to the law of time variation, the nursing service efficiency can be scientifically analyzed and the nursing manpower should be quantified to provide a scientific basis for hospital management.