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題名 | 某醫學中心第一臺手術延遲改善措施之效果評價=An Evaluation on the Effectiveness for a Program of Reducing the Delay of First Surgery in a Medical Center |
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作者 | 劉秋玉; 莊馥蓮; | 書刊名 | 醫保研究雜誌 |
卷期 | 2:1 民95.03 |
頁次 | 頁65-75 |
分類號 | 419.23 |
關鍵詞 | 手術; 延遲率; 效果; Surgery; Delay rate; Effectiveness; |
語文 | 中文(Chinese) |
中文摘要 | 本研究指在比較某醫學中心手術室改善措施能否有效降低第一臺手術延遲。研究樣本為某醫學中心民國93年4月1日至9月30日此期間之所有第一臺手術,共計2876臺數。研究採準實驗(Quasi-experimental design)之兩組(不同時間)後測設計;兩組樣本之選擇採立意分派,即民國93年4月1日至6月30日間第一臺時十術選為對照組,民國93年7月1日至9月30日間第一臺手術選為實驗組;效果指標為「延遲時間」及「延遲率」。介入內容包含:製訂護理人員接病患流程、制訂門診病患報到流程及制訂工友人力調度準則等。研究結果顯示;實驗組第一臺手術的延遲時間顯著低於對照組(1313分鐘比4349分鐘);實驗組第一臺手術之延遲率顯著低於對照組(16.8%比40.08%)。依研究結果建議第一臺手術若為門診病患應於前一天確實通知其報到時間,在排程管理上亦應安排住院病患為遞補之手術臺次,建立工友人力彈性調查準則等措施。 |
英文摘要 | This study aimed at a research question of whether the freeform policy of operation room could efficiently reduce the rate of delayed schedule for the very first operation each day. The samples purposely selected from on medical center during the period of April 1st and September 30th in 2004, numbering in 2876 person-times; those operations scheduled between April 1st and June 30th were regarded as control group, while the experimental group was from July 1st to September 30th. The reform program included the policies of :1) setting up a flow chart of patient reception for nursing staffs; 2) establishing the check-in process for patients from outpatient department; and 3) defining the standards for fellow worker dispatching. The results indicated that the delayed time of experimental group was apparently shorter than that of control group (1313 minutes versus 4349 minutes); the delay rate of experimental group was significantly lower then that for control group (16.8% versus 40.08%).The conclusion was that informing patients of exact check-in time prior to the operation date if the patient of the first operation was from outpatient department, arranging inpatients on the waiting status in case of surgical schedule revised, and defining the protocol of flexible staff dispatching are the key elements for reducing the delay rate. |
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