白内障日间和住院手术连台流程优化的效果评价

Evaluation of the optimized consecutive operation process for day-care and in-patient cataract surgery

目的:优化白内障手术工作流程,提高手术室工作效率,提高手术患者和医师满意度。方法:收集2018年6月至2019年1月温州医科大学附属眼视光医院手术室白内障日间和住院手术患者1046例为研究对象。将2018年6月至9月的482例患者归入流程优化前组,2018年10月至2019年1月的564例患者归入流程优化后组。对优化前、优化后白内障手术间工作效率、首台开台时间、医师满意度、患者满意度进行观察和比较。结果:与优化前组相比,优化后组首台手术准时开台率提高,非手术时间缩短,患者、手术医师、护士的满意度较高,差异均有统计学意义(P<0.05或P<0.01)。结论:合理的手术工作流程可以提高手术室工作效率,减少手术室资源浪费,提高手术患者及医师的满意度。

Objective:To optimize the cooperation of cataract surgery,so as to improve the operating room cooperation efficiency,as well as the satisfaction of patients and surgeons.Methods:A total of 1046 patients underwent daytime or hospitalized cataract surgery were included in our study from June 2018 to January 2019,with.482 patients from June 2018 to September 2018 as the pre-optimization group and 564 patients from October 2018 to January 2019 as the post-optimization group.Main outcome measurements were the efficiency of operating room cooperation,the punctuality of the first surgery,the satisfaction of surgeons and patient before and after the optimization.Results:Compared with the pre-optimization group,post-optimization group achieved higher punctuality of the first operation(P<0.01),reduced non-surgical time(P<0.01),and greater satisfaction from patients and surgeons(P<0.05).Conclusion:Optimized cooperation of cataract surgery can improve the efficiency of operation room,reduce the waste of medical resources,and improve the satisfaction of patients and surgeons.