模糊失效模式与效应分析在优化胸外科日间手术流程中的应用

Application of Fuzzy Failure Mode and Effect Analysis in Optimizing Ambulatory Thoracic Surgery Process

目的对胸外科日间手术流程中存在的障碍进行分析,了解影响胸外科日间手术工作效率的因素,为优化日间手术工作流程提供建议和科学依据。方法采用基于模糊理论的失效模式与效应分析法,对2019-2020年上海市某肺部疾病专科医院的日间手术流程进行分析,筛选影响手术流程的高风险因素,提出改进措施并实施。结果整改后,胸外科日间手术患者的手术取消率(0.72%)低于整改前(2.92%),患者进入手术室后的等待时间及复苏后等待转出的时间均明显缩短,差异均有统计学意义(均P<0.05)。结论模糊失效模式及效应分析法可以有效优化胸外科日间手术工作流程,提高日间手术室的工作效率。

Objective To analyze the obstacles in the ambulatory thoracic surgery process and explore the factors affecting the efficiency of ambulatory thoracic surgery,providing suggestions and scientific bases for optimizing the ambulatory surgery process.Methods The failure mode and effect analysis based on fuzzy theory was used to analyze the ambulatory surgery process in a specialized pulmonary disease hospital in Shanghai from 2019 to 2020.Then high-risk factors affecting the surgery process were screened,and corresponding improvement measures were put forward and implemented.Results After the improvement,the cancellation rate(0.72%)of ambulatory thoracic surgery was lower than that before the improvement(2.92%),and the time spent waiting for surgery in the operating room and waiting for transfer⁃out after resuscitation was significantly shortened,with significant difference(P<0.05 for all).Conclusion Fuzzy failure mode and effect analysis can effectively optimize the ambulatory thoracic surgery process and improve the working efficiency of ambulatory operating rooms.