FOCUS-PDCA在门诊手术流程优化中的应用

Application of FOCUS-PDCA in Ambulatory Surgery Process Optimization

目的观察FOCUS-PDCA管理工具在门诊手术流程优化中的应用效果。方法将FOCUSPDCA应用于门诊手术流程优化,根据流程优化前后分为常规组和改进组。记录两组手术患者就诊预约时间、等候时间和手术时间,观察两组手术患者安全隐患事件的发生率,随访患者对就医过程的满意度,以及手术医师和巡回护士对工作流程的满意度。结果改进组的预约时间、等候时间和手术时间显著低于常规组(P<0.05)。改进组术前未禁食禁饮、辅助检查资料不齐、患者身份识别错误、患者意外损伤及物资准备不充分的安全隐患事件发生率较常规组更低(P<0.05)。改进组就医满意度、手术医师和巡回护士对工作流程的满意度均显著高于常规组(P<0.05)。结论 FOCUS-PDCA应用于门诊手术流程优化可减少门诊手术安全隐患事件,提高门诊手术室工作效率及医患双方满意度。

Objective To evaluate the effectivity of FOCUS-PDCA in ambulatory surgery process optimization.Methods The patients in ambulatory surgery center were divided into conventional group and improved group.Conventional management method was used in fomer group.FOCUS-PDCA was used in later group.Appointment time,waiting time and operating time in two groups were recorded.Safety hidden danger event in two groups was observed.Patient satisfaction score,surgeon satisfaction score and circulating nurse satisfaction score were measured.Results The patients in improved group spent less time in appointment,waiting and operating(P<0.05).The incidence of safety hidden danger event in improved group was significantly less than that in conventional group(P<0.05).Significantly higher satisfaction levels were observed in improved group(P<0.05).Conclusion It is concluded that FOCUS-PDCA reduce the incidence of safety hidden danger event,increase the efficiency of ambulatory surgery center and improve the satisfaction level in ambulatory surgery.