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目的:分析医院手术流程时间延迟的原因并提出相应对策,为手术流程的优化提供依据和参考。方法:2009年5月,采用问卷调查法、观察法和访谈法相结合的方式收集哈尔滨市某医院手术流程各阶段的具体时间和影响手术进程的常见因素。结果:手术流程各阶段的平均时间从(12.60±8.56)min到(108.96±77.75)min不等,影响整个手术流程进度的因素主要有等待麻醉清醒,等待术中病理检测结果,麻醉师找病人签字,等待手术医生,麻醉穿刺困难,接病人途中等电梯,麻醉师未到,ICU床位紧张,早会时间长。结论:整个手术流程是一个多环节的复杂过程,受到众多因素影响,迫切需要采取有效手段进行手术流程优化,以解决手术流程延迟问题和最大化手术室工作效率。
OBJECTIVE: To analyze the reasons for the time delay of surgical procedures in hospitals and to put forward corresponding countermeasures to provide the basis and references for the optimization of surgical procedures. Methods: In May 2009, questionnaires, observation methods and interview methods were used to collect the specific time of the surgical procedure and the common factors affecting the surgical procedure in a hospital in Harbin. Results: The average time of each stage of the surgical procedure ranged from (12.60 ± 8.56) min to (108.96 ± 77.75) min. The main factors affecting the progress of the surgical procedure were awaiting arousal of anesthesia, awaiting the intraoperative pathological examination results, Signing, waiting for a surgeon, difficulty in anesthesia and puncture, taking a patient on the way, elevator, anesthetist not yet reached, ICU bed tight, morning will take a long time. Conclusion: The entire surgical procedure is a complicated process with many links. Influenced by many factors, it is urgent to take effective measures to optimize surgical procedures to solve the problem of surgical procedure delay and to maximize the efficiency of the operating room.