急诊手术应急接诊系统在颅脑创伤急诊手术中的设计与应用

Design and Application of Emergency Reception System for Emergency Surgery in Traumatic Brain Injury Surgery

目的构建急诊手术应急接诊系统,探讨其在颅脑创伤急诊手术中的应用效果。方法采用Java、HTML、CSS等开发语言,以IntelliJ IDEA、Java JDK1.8为开发工具,以Java EE分布式微服务架构平台为技术框架构建急诊手术应急接诊系统,实现手术申请、大屏通知、手术前评估、手术患者跟踪、患者转运记录、手术查询、术中语音提醒等功能。选取我院收治的160例颅脑创伤急诊手术患者为研究对象,验证系统的应用效果。结果相较于系统应用前,系统应用后的术前等待时间、手术备皮时间、术前交接时间、术前转运时间、术前评估时间均明显缩短,差异有统计学意义(P<0.001);手术室不良事件发生率从38.75%降低至11.25%,差异有统计学意义(P<0.001);医护人员满意度从75.00%提升至96.88%,差异有统计学意义(P<0.05)。结论通过构建急诊手术应急接诊系统并将其应用于颅脑创伤急诊手术中,可有效提高手术室工作效率,降低手术室不良事件发生率,医护满意度上升,进而提高手术室管理质量,值得进一步在临床推广使用。

Objective To construct emergency reception system for emergency surgery and explore its application effect in traumatic brain injury surgery.Methods The emergency reception system for emergency surgery was developed with Java,HTML,CSS and other development languages;IntelliJI DEA,Java JDK1.8 as development tools;and Java EE distributed microservice architecture platform as technical framework.And the function of surgery application,large screen notification,preoperative assessment,surgical patient tracking,patient transport record,surgery inquiry,and intraoperative voice reminder were implemented.A total of 160 patients with traumatic brain injury emergency surgery in our hospital were selected as the research objects to verify the application effect of the system.Results Compared with before the application of the system,the emergency waiting time,skin preparation time,preoperative handover time,preoperative transport time and preoperative evaluation time after application of the system were significantly shortened(P<0.001).The incidence of adverse events in operating room decreased from 38.75%to 11.25%,and the difference was statistically significant(P<0.001).The satisfaction of medical staff increased from 75.00%to 96.88%,and the difference was statistically significant(P<0.05).Conclusion The construction and application of emergency reception system for emergency surgery in traumatic brain injury surgery can effectively improve the efficiency of operating room,reduce the incidence of adverse events in operating room,increase the satisfaction of medical staff,and improve the quality of operating room management,which is worthy of further clinical application.