主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
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中国科学引文数据库(CSCD)核心库期刊
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中国护理管理 ›› 2025, Vol. 25 ›› Issue (2): 175-180.doi: 10.3969/j.issn.1672-1756.2025.02.004

• 特别策划·数字健康技术 • 上一篇    下一篇

手术室智慧化护理调度系统的建设及应用效果研究

张颖 陈静 雷梦君 孙碧海 薛长莹   

  1. 中日友好医院护理部,100029 北京市(张颖);呼吸与危重症医学科(陈静);手术麻醉科(雷梦君,薛长莹);信息中心(孙碧海)
  • 出版日期:2025-02-15 发布日期:2025-02-15
  • 作者简介:张颖,本科,副主任护师,护理部副主任,E-mail:nzhangying2012@sina.com
  • 基金资助:
    中日友好医院高水平医院临床业务费专项项目(2023-NHLHCRF-GLMS-10)

Construction and effects of the intelligent nursing scheduling system in operating room

ZHANG Ying, CHEN Jing, LEI Mengjun, SUN Bihai, XUE Changying   

  1. Nursing Department, China-Japan Friendship Hospital, Beijing, 100029, China
  • Online:2025-02-15 Published:2025-02-15

摘要: 目的:建设并应用满足手术室护理管理需求的智慧化护理调度系统,为提高手术室工作效率和安全质量提供参考。方法:2023年9月,在某三级甲等医院手术室建设完成智慧化护理调度系统,随机抽取3个手术间作为检测点位,比较系统应用前(2023年6月—7月)与应用后(2023年11月—12月)的手术间平均使用效率、手术间平均周转时间、患者入室前平均等待时间、医护人员等待患者平均时间、手术室工作人员对系统的可用性评价、患者满意度情况等。结果:系统应用后,手术间平均使用效率提高(P=0.013),手术间平均周转时间缩短(P=0.007),患者入室前平均等待时间缩短(P<0.001),医护人员等待患者平均时间缩短(P=0.014)。对37名手术室工作人员采用后测系统可用性问卷进行调查,各维度均分在5.98~6.08之间,处于满意和非常满意之间。患者满意度调研显示患者对手术室整体服务的评价提升(P<0.001)。结论:手术室智慧化护理调度系统的应用优化并规范了手术室护理辅助人员的行为,有效提升了手术周转效率和患者满意度,保障了医疗安全,推动了医院高质量发展,具有推广价值。

关键词: 信息化;智慧化护理调度系统;手术周转;效益;护理质量

Abstract: Objective: To construct an intelligent nursing scheduling system that meets the nursing management needs of the operating room for clinical use to improve the work efficiency, safety and quality of the operating room. Methods: The intelligent nursing scheduling system was constructed in September 2023 in the operating room of a tertiary grade A hospital. And then three operating rooms were randomly selected to compare various indicators including the operating room average utilization rate, average surgical turnaround time, and average patients' preoperative waiting time, as well as average waiting time for medical staffs, users' evaluation of system usability, and satisfaction of patients before (from June to July, 2023) and after (from November to December, 2023) the system was applied. Results: After the application of the system, the average usage efficiency of the operating room was significantly improved (P=0.013), with significantly shortened average turnover time (P=0.007), waiting time before patients entering the room (P<0.001) and average waiting time for medical staffs (P=0.014). The average score of each dimension of the Post-Study System Usability Questionnaire among 37 staff members was between 5.98 (satisfied) and 6.08 (quite satisfied). Patients' satisfaction survey showed that patients' evaluation of the overall service in the operating room was significantly improved (P<0.001). Conclusion: The construction and application of the intelligent nursing scheduling system in operating room optimizes and standardizes the behavior of nursing assistants, effectively improves the efficiency of surgical turnover and patients' satisfaction, ensures medical safety, promotes high-quality development of the hospital, and shows its promotion value.

Key words: informatization; intelligent nursing scheduling system; surgical turnover; benefit; nursing quality

中图分类号:  R47;R197