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品管圈在提升经皮肾镜取石术接台准时率中的应用研究

The application of quality control circles to enhance the on-time rate of percutaneous nephrolithotomy surgery turnover

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【作者】 梁乾艳黄柳芳龚凤球李文姬

【Author】 Liang Qianyan;Huang Liufang;Gong Fengqiu;Li Wenji;Surgical Anesthesia Center, the First Affiliated Hospital, Sun Yat-sen University;

【通讯作者】 黄柳芳;

【机构】 中山大学附属第一医院手术麻醉中心

【摘要】 目的 探讨品管圈活动在提升经皮肾镜取石术接台准时率中的应用效果。方法 选取2023年3月—10月在某院泌尿外科行经皮肾镜取石术的130例患者为研究对象,按入院时间随机分为品管圈对策实施前(65例)和实施后(65例),前者采用常规的护理方式,后者采用品管圈的方式,实施多方位解析和多维度管理策略,建立标准化手术接台流程。比较品管圈对策实施前后经皮肾镜取石术接台各环节耗时、接台准时率和医护满意度。结果 品管圈对策实施后,手术接台时间由(61.81±3.74)min降至(53.73±3.21)min,接台准时率由69.23%显著提升至92.31%,医护人员满意度明显提升,P均<0.05,差异具有统计学意义。结论 品管圈活动可显著优化经皮肾镜取石术流程,提升接台准时率,提高圈员综合能力和医护满意度。

【Abstract】 Objective To explore the application effect of quality control circle(QCC) activities on improving the on-time rate of percutaneous nephrolithotomy(PCNL) surgery turnover. Methods A total of 130 patients undergoing PCNL in the Urology Department from March to October 2023 were selected as the research subjects. They were divided into pre-implementation(65 cases) and post-implementation(65 cases) groups based on the admission time. Conventional nursing care was given to patients of the pre-implementation group. Those in the post-implementation group were managed using QCC methods, with a standardized surgery turnover procedure based on multi-dimensional analysis and management strategies. The time consumption of each link in the surgery turnover of PCNL, on-time rate of turnover, and satisfaction of medical staff were compared between the two groups. Results After the implementation of QCC activities, the surgery turnover time was reduced from 61.81 ± 3.74 minutes to 53.73 ± 3.21 minutes; the on-time rate of turnover significantly increased from 69.23% to 92.31%; and the satisfaction of medical staff was significantly improved(P < 0.05). Conclusion QCC activities can significantly increase the efficiency of the PCNL surgery process, enhance the on-time rate of turnover, and improve the satisfaction of medical staff.

  • 【文献出处】 中国医疗管理科学 ,Chinese Journal of Medical Management Sciences , 编辑部邮箱 ,2025年02期
  • 【分类号】R473.6
  • 【下载频次】33
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