【摘要】 目的:应用TPS方法缩短首台择期手术患者在手术室的等待时间。方法:成立由麻醉医生、手术室护士、外科医生、护理部主任组成TPS改善小组。通过问题与背景分析、现状把握、流程现状分析、目标设定、确定数据类型,分别对30例病人进行改善前后数据根本原因分析,确定解决问题的方案。结果:30例病人应用TPS方法改善后,首台手术病人切皮前在手术室的等待时间平均缩短了13.1分钟,等待时间降低了23.3%,差异有高度统计学意义(P<0.01)。结论:应用TPS方法缩短首台择期手术患者在手术室的等待时间,有效利用手术室人力物力资源,使流程合理化,降低了医院的运行成本,减少医疗资源浪费。更多还原

【Abstract】 [Objective] Using the method of TPS to reduce the waiting time in operating room of the first operated patients of elective operation.[Method] The improvement group of TPS including anaesthetists,theatre nurse,surgeons and director of nurse was established.We analyzed the fundamental reasons of changes in 30 patients’ data before and after improved.The methods of analysis included problem and background analysis,grasping actuality,analysis of flow actuality,aim enactment and determining data type.Then,the solution was made.[Result] Compared with the waiting time before improved,the waiting time in operating room of the first operated patients before incision of skin is reduced 13.1minutes(23.3 percent in average) after TPS improved.There is a remarkable difference by t test(P<0.01).[Conclusion] Using the method of TPS can reduce the waiting time in operating room of the first operated patients of elective operation.TPS can make use the operating room’s resources be utilized effectively,the operation procedure more rationalization,reduce the running cost of hospital and reduce the waste of medical resources.更多还原