双飞龙复合手术间手术流程优化及扫描安全核查方案的应用及效果评价

Optimization of Operating Room Procedures and Application and Effect Evaluation of Scanning Safety Verification Scheme for Bilateral Flying Dragon Compound Surgery

摘要: 目的：研究分析双飞龙复合手术间手术流程优化及扫描安全核查方案和运用效果。方法：选择我院2020年1月~2021年6月期间在双飞龙复合手术间实施手术治疗的55例患者为研究对象，组建流程优化团队，设计“点对点”固定归位法，利用IMRI“四方”安全核查表调整手术流程，优化磁共振医师、巡回护士、麻醉医师以及手术医师访谈流程，评价流程改进效果，比较分析优化流程前后的患者满意度和手术室护理质量。结果：与实施前相比，实施后的病历书写、病房管理、护理记录、基础护理、意外风险处理以及总护理质量评分均较高，差异性显著(P < 0.05)；同时，实施前后的每台手术准备时间、手术间滞留时间、术前等待时间、操作性护理、服务态度、心理护理、医疗环境以及健康教育评分比较差异有统计学意义(P < 0.05)。结论：双飞龙复合手术间的手术流程优化及扫描安全核查方案的实施，可以对手术室医疗资源进行整合，对人力资源配置进行优化，提高了工作效率和护理服务质量，具有推广价值。

Abstract: Objective: To study and analyze the optimization of operating room procedures for bilateral flying dragon compound surgery and the application and effects evaluation of the scanning safety verification scheme. Methods: A total of 55 patients who underwent surgical treatment in the bilateral flying dragon compound operating room of our hospital from January 2020 to June 2021 were selected as the research subjects. A process optimization team was formed, and a “point-to-point” fixed positioning method was designed. The IMRI “Four Aspects” safety verification form was used to adjust the surgical procedure. The interview process of MRI physicians, circulating nurses, anesthesiologists, and surgeons was optimized. The effects of process improvement were evaluated, and patient satisfaction and operating room nursing quality before and after process optimization were compared and analyzed. Results: Compared with before implementation, the scores for medical record writing, ward management, nursing records, basic nursing, handling unexpected risks, and overall nursing quality after implementation were higher, and the differences were significant (P < 0.05). Meanwhile, the scores for each surgical preparation time, operating room stay time, preoperative waiting time, operational nursing, service attitude, psychological nursing, medical environment, and health education before and after implementation showed statistically significant differences (P < 0.05). Conclusion: The implementation of the optimization of operating room procedures and the scanning safety verification scheme in the bilateral flying dragon compound operating room can integrate medical resources, optimize human resource allocation, improve work efficiency and nursing service quality, and have promotive value.