关键词: 加速康复外科；患者安全；护士主导；管理

Abstract: Objective: To summarize the experience of applying the nurse-led multi-disciplinary pre-hospital management model of patients receiving orthopedic surgeries, in order to improve hospital efficiency and ensure patient safety. Methods: The nurse-led multi-disciplinary management model was constructed and implemented clinically since 2019. Indicators like the case-mix index, the average length of stay before surgery and the average length of hospitalization were compared before and after the application of the model. Results: Ever since the implementation of the model, both the average preoperative hospitalization length and the average hospitalization length had decreased, and the differences were statistically significant (P<0.05). Besides, patients were very satisfied with the treatment safety, efficiency and medical examination. Fifty-two medical staff who had cared those orthopedic patients were 100.0% satisfied with the model. Conclusion: The nurse-led multi-disciplinary pre-hospital management model can ensure safety patients undergoing orthopedic surgery. It not only shortens the hospital stay, ensures patient safety, but also expands the field and value of nursing services.

Key words: Enhanced Recovery After Surgery; patient safety; nurse-led; management