文章摘要
信息化轨迹管理在优化手术患者接送流程中的应用效果
The application effect of information trajectory management in optimizing transfer process of surgical patients
投稿时间:2020-09-28  
DOI:10.3969/j.issn.1000-0399.2021.03.020
中文关键词: 信息化  轨迹管理  手术室  流程优化
英文关键词: Informatization  Track management  Operating room  Process optimization
基金项目:安徽省自然科学基金青年基金(项目编号:2008085QH418)
作者单位
刘迎春 230001 合肥 中国科学技术大学附属第一医院(安徽省立医院)手术室 
蔡伟 230001 合肥 中国科学技术大学附属第一医院(安徽省立医院)手术室 
杨娟娟 230001 合肥 中国科学技术大学附属第一医院(安徽省立医院)手术室 
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中文摘要:
      目的 探索信息化轨迹管理在优化手术患者接送流程中的应用效果。方法 采用随机对照试验的研究设计方法,通过Excel随机数字生成器,将2019年8~10月中国科学技术大学附属第一医院(安徽省立医院)胆外科90例手术患者分为观察组与对照组,每组45例。观察组患者在常规术前准备和术后护送的基础上,按照设计的信息化轨迹管理流程进行接送手术患者。对照组术前术后按常规流程进行接送。评估并比较两组患者实施后的接送时间、术前准备缺陷率及患者满意度水平的差异。结果 实施后,观察组患者等待电梯时间为(1.17±0.48)min、取病例资料时间为(2.49±1.22)min、交接物品时间为(1.72±0.71)min、术前准备所需时间为(4.30±2.14)min,均短于对照组,差异有统计学意义(P<0.05),观察组患者术前准备缺陷率低于对照组,且观察组患者对手术室转运流程管理的满意度优于对照组,差异均有统计学意义(P<0.05)。结论 信息化轨迹管理有助于规避部分手术患者接送危险因素。与病区、麻醉复苏室实现精准对接,缩短术前等待时间,减少患者术前准备缺陷率,提高患者就医感受。
英文摘要:
      Objective To explore the application effect of information trajectory management in optimizing the procedure of surgical patient transport. Methods A total of 90 patients undergoing surgery in the Department of Biliary Surgery of the First Affiliated Hospital of University of Science and Technology of China from August to October 2019 were divided into observation group and control group using the method of randomized controlled trial design and Excel random number generator. On the basis of routine preoperative preparation and postoperative escort, patients in the observation group were transported to and from the surgical patients according to the designed information trajectory management process. The control group was picked up according to the routine procedure before and after operation. Evaluation and comparison were performed in the differences in the transport time after implementation, preoperative preparation defect rate and patient satisfaction level between the two groups of patients. Results After the results were implemented, the observation group spent (1.17±0.48)min waiting for elevator,(2.49±1.22) min collecting case data,(1.72±0.71) min handing over items, and(4.30±2.14) min for preoperative preparation, which were all shorter than those of the control group, and the differences were statistically significant (P<0.05). The preoperative preparation defect rate in observation group was lower than that in control group. In addition, the satisfaction of observation group on the management of the operation room transport process was better than that of control group, with statistical significance (P<0.05).Conclusions Information trajectory management is helpful to avoid some risk factors of surgical patient transport. Accurate docking with the ward and anesthesia resuscitation room can shorten the preoperative waiting time, reduce the rate of defects in patients’ preoperative preparation, and improve patients’ experience of seeking medical treatment.
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