摘要
目的探讨智慧病房模式联合六西格玛法在改进手术接台流程和缩短手术接台时间的效果,为优化改进手术接台流程提供合理依据。方法本研究为前瞻性研究,选取2021年8—11月在中国医科大学附属盛京医院住院的240例妇科手术患者为研究对象。2021年8—9月采用常规手术接台流程管理的120例妇科手术患者作为对照组,2021年10—11月采用智慧病房模式联合六西格玛法管理的120例妇科手术患者作为观察组。比较2组患者的责任护士收到接手术通知时间、术前准备时间、转运人员准备时间、转运人员到达后等待时间及接手术总时间。结果观察组责任护士收到接手术通知时间(1.42±0.61)min,少于对照组的(3.53±1.12)min,差异有统计学意义(t=18.14,P<0.05);观察组术前准备时间(8.43±1.80)min,少于对照组的(11.36±2.01)min,差异有统计学意义(t=11.89,P<0.05);2组转运人员准备时间比较差异无统计学意义(P>0.05);观察组转运人员到达后等待时间2.33(1.75,2.93)min,少于对照组的5.19(3.46,8.42)min,差异有统计学意义(t=-10.06,P<0.05);观察组接手术总时间(23.90±4.94)min,少于对照组的(28.84±4.75)min,差异有统计学意义(t=7.90,P<0.05)。结论智慧病房模式联合六西格玛法可以改善病房的手术接台流程,缩短接台时间,提高医护人员的工作质量和工作效率。
ObjectiveTo explore the application effect of the intelligent ward combined with DMAIC in improving the procedure and shortening the time of operation,so as to provide a reasonable basis for optimizing and improving the operation process.MethodsThis was a prospective study.A total of 240 patients with gynecological surgery hospitalized in Shengjing Hospital of China Medical University from August to November 2021 were selected as the research object.From August to September 2021,the routine management mode of staff in the operating room and ward was adopted as the control group,with a total of 120 cases.From October to November 2021,the intelligent ward combined with DMAIC mode of staff in the operating room and ward was adopted as the observation group,with a total of 120 cases.The time of receiving operation notice,preoperative preparation time,preparation time of transfer personnel,waiting time after the arrival of transfer personnel and the total time of receiving operation were compared between the two groups.ResultsThe time of receiving operation notice was(1.42±0.61)min in the observation group,which was less than that in the control group(3.53±1.12)min,the difference was statistically significant(t=18.14,P<0.05).The preoperative preparation time was(8.43±1.80)min in the observation group,which was less than that in the control group(11.36±2.01)min,the difference was statistically significant(t=11.89,P<0.05).There was no significant difference in the preparation time of transfer personnel between the two groups(P>0.05).The waiting time after the arrival of transfer personnel was 2.33(1.75,2.93)min in the observation group,which was less than that in the control group 5.19(3.46,8.42)min,the difference was statistically significant(t=-10.06,P<0.05).The total time of receiving operation was(23.90±4.94)min in the observation group,which was less than that in the control group(28.84±4.75)min,the difference was statistically significant(t=7.90,P<0.05).ConclusionsThe intelligent ward combined with DMAIC improves the operation receiving process of the ward,shortens the total time for receiving the operation,and effectively improves the work quality and efficiency of the medical staff.
作者
顾静
李婷
Gu Jing;Li Ting(Department of First Minimally Invasive Gynecology,Shengjing Hospital of China Medical University,Shenyang 110004,China)
出处
《中国实用护理杂志》
2023年第21期1636-1641,共6页
Chinese Journal of Practical Nursing
基金
中国医科大学附属盛京医院资助项目(M0802)。
关键词
外科手术
时间
六西格玛
智慧病房
流程管理
Surgical procedures,operative
Time
DMAIC
Intelligent ward
Process management
