【摘要】 目的 ：总结护士主导的多学科协作管理在骨科手术患者院前管理中应用的经验，以期提高医院运行效率和保证患者安全。方法 ：构建护士主导的多学科协作管理模式，并于2019年在我院骨科实施。分析实施管理模式前后骨科手术患者病例组合指数、术前平均住院日、平均住院日。结果 ：实施护士主导的多学科协作管理模式后，骨科患者术前平均住院日、平均住院日均较实施前下降，差异有统计学意义（P<0.05）。实施管理模式后，患者对治疗安全、医疗服务效率及就医体验方面表示非常满意，52名骨科患者手术临床实施相关者对该模式满意度为100.0%。结论 ：护士主导的多学科协作管理模式在骨科手术患者中运行良好，缩短了患者住院时间，保障了患者安全，同时拓展了护理服务领域和价值。更多还原

【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. Fiftytwo medical staff who had cared those orthopedic patients were 100.0% satisfied with the model. Conclusion: The nurseled 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.更多还原