中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2014年
19期
28-30
,共3页
流程优化%腹腔镜右半结肠癌根治术%工作效果
流程優化%腹腔鏡右半結腸癌根治術%工作效果
류정우화%복강경우반결장암근치술%공작효과
Process%Optimization,Laparoscopic%Colon resection
目的：探讨流程优化对腹腔镜右半结肠癌根治术工作效果的影响。方法：通过对现有资源的合理运用，关键时间点的确立，成立腹腔镜保障团队，优化重组人力资源，建立腹腔镜医生喜好卡等流程优化的实施，评价其对腹腔镜右半结肠癌根治术工作效果的影响。结果：优化流程后，第1台手术时间的准时率由56．2％提高到89．3％；连台手术衔接时间缩短了9±2分钟；护士的人均手术量由98．6台增加到118．5台；人均配合手术时间每天由618．5分钟减少到568．9分钟；手术配合持续时间由259min/（d·间）减少到205 min/（d·间）；满意度医生由76．8％提高到98．7％，患者由81．6％提高到98．3％。护理质量得到明显的提高。结论：流程优化过程中合理利用有效资源，重视时间管理，成立腹腔镜保障团队，优化重组人力资源，建立手术医生喜好卡等，可提高对腹腔镜右半结肠癌根治术工作效率。
目的：探討流程優化對腹腔鏡右半結腸癌根治術工作效果的影響。方法：通過對現有資源的閤理運用，關鍵時間點的確立，成立腹腔鏡保障糰隊，優化重組人力資源，建立腹腔鏡醫生喜好卡等流程優化的實施，評價其對腹腔鏡右半結腸癌根治術工作效果的影響。結果：優化流程後，第1檯手術時間的準時率由56．2％提高到89．3％；連檯手術銜接時間縮短瞭9±2分鐘；護士的人均手術量由98．6檯增加到118．5檯；人均配閤手術時間每天由618．5分鐘減少到568．9分鐘；手術配閤持續時間由259min/（d·間）減少到205 min/（d·間）；滿意度醫生由76．8％提高到98．7％，患者由81．6％提高到98．3％。護理質量得到明顯的提高。結論：流程優化過程中閤理利用有效資源，重視時間管理，成立腹腔鏡保障糰隊，優化重組人力資源，建立手術醫生喜好卡等，可提高對腹腔鏡右半結腸癌根治術工作效率。
목적：탐토류정우화대복강경우반결장암근치술공작효과적영향。방법：통과대현유자원적합리운용，관건시간점적학립，성립복강경보장단대，우화중조인력자원，건립복강경의생희호잡등류정우화적실시，평개기대복강경우반결장암근치술공작효과적영향。결과：우화류정후，제1태수술시간적준시솔유56．2％제고도89．3％；련태수술함접시간축단료9±2분종；호사적인균수술량유98．6태증가도118．5태；인균배합수술시간매천유618．5분종감소도568．9분종；수술배합지속시간유259min/（d·간）감소도205 min/（d·간）；만의도의생유76．8％제고도98．7％，환자유81．6％제고도98．3％。호리질량득도명현적제고。결론：류정우화과정중합리이용유효자원，중시시간관리，성립복강경보장단대，우화중조인력자원，건립수술의생희호잡등，가제고대복강경우반결장암근치술공작효솔。
Objective:To explore the effects work research of process optimization to laparoscopic right colon resection .Methods:Through process optimization implement of the rational use of existing resources , established critical point in time , establised laparoscopic security team, optimization and reorganization of human resources , and established laparoscopic physician preference card .Evaluated the effect of work research of process optimization to laparoscopic right colon resection .Results:The first one -time operation time rate in-creased from 56.2%to 89.3%after optimization process.Convergence time of even Taiwan surgery shorted by 9 ±2 min after optimiza-tion process.Surgical volume per capita of nurse added from 98.6 units to 118.5 units after optimization process .Average operative time reduced from 618.5min to 568.9min daily after optimization process.Duration of surgery with reduced from 259(d· room) to 205(d· room) after optimization process.The satisfaction of doctor increased from 76.8%to 98.7%,and the satisfaction of patients increased from 81.6%to 98.3%after optimization process.Quality of care was improved significantly .Conclusion:The process optimization of rational use of available resource ,emphasis on time management , the establishment of laparoscopic security team , optimization and improve of hu-man resources ,the establishment of doctor preference cards , etc ,can improve the efficiency of laparoscopic right colon resection .
