术后沟通评价系统在手术室工作效率质量改进中的应用效果

Application Effect of Postoperative Communication and Evaluation System in the Improvement of Work Efficiency and Quality of Operating Room

目的探讨术后沟通评价系统在手术室工作效率和手术医生术后满意度质量改进中的应用效果。方法选取烟台市某三甲医院进行手术室工作效率和手术医生术后满意度持续质量改进项目,通过手术室工作效率和手术医生术后满意度持续质量改进项目来验证术后沟通评价系统的可行性,通过监测指标及结果反馈评估,判断术后沟通评价系统对手术室工作效率及手术医生术后满意度改善是否存在积极意义。结果以采用术后沟通评价系统为节点,进行手术室工作效率和手术医生术后满意度持续质量改进项目各关键指标前后三个月对比,仪器设备日错误率从6.35%降低至2.83%,工作程序日混乱率从5.74%降低至1.93%,手术物品准备完备率从92.38%提升至97.31%,手术医生满意度从93.21%提升至97.23%,且数据均有统计学意义(P<0.05)。结论通过术后沟通评价系统,记录出现的问题,并使用问题代码将信息输入电子表格,经过系统将问题汇总,并将这些信息用于预算规划、培训、资源分配以及持续质量改进。通过分析结果,找出影响手术室工作效率和手术医生术后满意度的问题和根源,从而达到提升手术室工作效率和改善手术医生术后满意度的目的。

Objective To explore the application effect of postoperative communication evaluation system in the improvement of operating room working efficiency and postoperative satisfaction.Methods The feasibility of the postoperative communication evaluation system was verified by selecting the continuous quality improvement project of work efficiency and postoperative satisfaction in the operating room of a third-class hospital in Yantai city.The positive significance of the postoperative communication evaluation system was determined through the feedback evaluation of monitoring indicators and result.Results Taking the use of the postoperative communication evaluation system as the time node,the comparison of the operating room work efficiency and postoperative satisfaction before and after three months with each key index of the continuous quality improvement program was conducted.The daily error rate of instruments and equipment decreased from 6.35%to 2.83%,the daily confusion rate of working procedures decreased from 5.74%to 1.93%,the readiness rate of surgical items increased from 92.38%to 97.31%,and the satisfaction of surgeons increased from 93.21%to 97.23%.The data are statistically significant(P<0.05).Conclusion By using the postoperative communication and evaluation system,the problems are recorded and the information is entered into the spreadsheet with the problem code.The problems are summarized through the system,and the information is used for budget planning,training,resource allocation and continuous quality improvement.Through the analysis of the results,we identify the problems and root causes that affect the operating room work efficiency and the postoperative satisfaction of surgeons,so as to improve the efficiency and satisfaction.