Application of lean management based on time-action method in Operating Room of General Surgery Department
10.3760/cma.j.cn115682-20201130-06453
- VernacularTitle:基于时间-动作法的精益管理在普外科手术室的应用分析
- Author:
Yingtao SHI
1
;
Lina YE
;
Mengmeng GUO
;
Hui CHEN
;
Mingyue JIN
Author Information
1. 冀中能源邢台矿业集团总医院手术室，邢台 054000
- Keywords:
Operating Room;
General Surgery Department;
Time-action method;
Nursing management;
Lean management
- From:
Chinese Journal of Modern Nursing
2021;27(25):3487-3490
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To discuss the application effect of lean management based on time-action method in Operating Room of General Surgery Department.Methods:A total of 106 patients who underwent surgery in General Surgery Department of Jizhong Energy Xingtai Mining Group General Hospital from April 2018 to March 2020 were selected. According to the admission time, 51 patients admitted from April 2019 to March 2020 were set as the observation group, and 55 patients admitted from April 2018 to March 2019 were set as the control group. The control group adopted routine nursing management, while the observation group accepted lean management based on time-action method on this basis. The quality of Operating Room management, operation efficiency, nursing risk events and occurrence of postoperative infection were observed and compared between the two groups.Results:In the observation group, the scores and total scores of item preparation, sterility, cooperation of nursing staff and equipment management after intervention were respectively (17.94±1.58) , (18.15±1.67) , (25.50±1.86) , (26.74±1.93) and (88.45±5.34) , higher than (16.01±1.33) , (15.92±1.28) , (23.11±1.75) , (24.63±1.81) and (79.71±4.86) in the control group, and the differences were statistically significant ( t=6.821, 7.749, 6.816, 5.809, 8.822; P<0.01) . The preoperative preparation time, time of transporting patients and the overtime of nursing staff in the observation group were respectively (26.35±8.12) , (20.26±5.48) , (134.40±19.84) min, which were lower than (38.56±10.27) , (31.05±9.13) and (209.38±25.96) min of the control group, and the differences were statistically significant ( t=6.755, 7.306, 6.816, 16.611; P<0.01) . The incidence of nursing risk in the observation group was 1.96%, which was lower than12.73% in the control group (χ 2=4.396, P=0.036) . The total incidence of postoperative infection in the observation group was 5.88%, which was lower than 20.00% in the control group (χ 2=4.601, P=0.032) . Conclusions:The use of lean management based on the time-action method for Operating Room of General Surgery Department can improve quality of nursing and operation efficiency, reduce postoperative infections and reduce the incidence of nursing risk events.
