基于价值流程图的急性腹部创伤术前流程分析

Analysis of Preoperative Process for Acute Abdominal Trauma Based on Value Flow Chart

目的通过调研急性腹部创伤手术术前流程现状,为院内流程改善提供依据。方法采用目的抽样法,选取2018年9月至2019年8月经急诊入院的68例急性腹部创伤手术的患者为研究对象,通过现状构建SIPOC组织框架,制定观察分析表,追踪各环节的信息流和时间流。结果急性腹部创伤术前总流程平均时间为322.5 min,无价值等待时间为245.7 min,有价值时间76.8 min。结论急性腹部创伤手术术前流程存在较大改进空间,精细化管理、启动绿色通道注重创伤救治时效性、建立一体化腹部创伤救治模式等是优化急性腹部创伤术前流程的关键措施。

Objective:By investigating the current status of preoperative procedures for acute abdominal trauma surgery and providing a basis for improving hospital processes.Method:A purposive sampling method was used to select 68 patients admitted to emergency abdominal trauma surgery from September 2018 to August 2019 as the research subjects.Based on the current situation,a SIPOC organizational framework was constructed;observation and analysis tables were developed;and information and time flows in each stage were tracked.Result:The average time of total procedure before acute abdominal trauma was 322.5 minutes;the worthless waiting time is 245.7 minutes;and the valuable time is 76.8 minutes.Conclusion:There is significant room for improvement in the preoperative process of acute abdominal trauma surgery.Refined management,the launch of green channels,and the establishment of an integrated abdominal trauma treatment model are key measures to optimize the preoperative process of acute abdominal trauma.