日间手术病房床位爽约的原因分析及对策

The Analysis about Reasons of Breach for the Beds in Ambulatory Surgery Ward and Making Corresponding Countermeasures

摘要: 目的：探讨日间手术病房床位爽约的原因，并制定出相应对策。方法：对我院日间手术病房2015年1月至2015年6月爽约的92例病例进行回顾分析，分析爽约的原因。主要原因是医生与患者沟通不到位，手术时间滞后从而导致患者流失严重，床位使用率下降，并提出加强医患沟通，日间流程培训，协调床位等措施。结果：2016年1月至6月同比下降49%。结论：通过建立严格的日间手术病房准入制度，加强医患的有效沟通，减少预约等待的时间可以减低日间手术病房的爽约率及提高日间手术病房床位使用率。

Abstract: Object: To investigate the reasons of breach for the beds in ambulatory surgery ward and make corresponding countermeasures. Methods: The clinical data of 92 breach cases in our ambulatory surgery ward from June 2015 to December 2015 were analyzed retrospectively to explore the cause of breach. The mainly reasons are the deficiency of communication between doctors and patients, the loss of patients caused by the delaying operation time, resulting in the decrease of utilization rate of beds. The countermeasures, such as strengthening the communication between doctors and patients, reinforcing the training of ambulatory surgery process, coordinating the beds are proposed. Results: The breach for the beds fell 49% year on year from January to June in 2016. Conclusion: The breach rate of ambulatory surgery ward beds can decrease by effective measures including establishing ambulatory surgery ward access system, improving communication between doctors and patients, reducing reservation waiting time, thus enhancing the use rate of ambulatory surgery ward beds.