Application effect of medical and nursing integration and queuing mechanism in surgical arrangement and scheduling
10.3760/cma.j.cn115682-20201130-06462
- VernacularTitle:医护一体化模式和排队机制在手术安排与调度中的应用效果
- Author:
Ping BAI
1
;
Feng WANG
;
Yongting WEI
Author Information
1. 国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院手术室，北京 100021
- Keywords:
Operating Room;
Management;
Surgery scheduling;
Medical and nursing integration
- From:
Chinese Journal of Modern Nursing
2021;27(27):3714-3718
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the development of surgical arrangement and scheduling scheme based on medical and nursing integration and queuing mechanism and to evaluate its application effect.Methods:The patients who completed surgery in Cancer Hospital of Peking Union Medical College in 2018 were set as the control group, and patients who completed the surgery in the same period in 2019 were set as the experimental group. The control group adopted traditional surgical scheduling methods, while the experimental group formulated surgical arrangements and scheduling programs based on the theoretical basis of medical and nursing integration and queuing mechanism and reached consensus on medical and nursing in the program practice. Every department formulated procedures for receiving procedures and submitted surgical information and pre-sequence of requirements. According to the operation information of each ward, Operating Room arranged the operation, the operating rules, the energy level matching and dynamic adjustment of Operating Room nurses, defined rules of receiving emergency surgeries, real-time monitoring and feedback, strictly implemented the established plan and observed its application effect through the utilization rate of the operating table.Results:In 2019, an average of 5.36 cases/d were performed on each operating table, and the utilization rate of the operating table increased from 91.26% to 95.74%.Conclusions:The operation scheduling mode based on medical and nursing integration and queuing mechanism can realize the joint decision-making and cooperation of medical staff, which has certain advantages in improving the utilization rate of the operating table. In the future, artificial intelligence, big data and other methods can be fully utilized to continuously optimize the operation scheduling mode and improve the operating efficiency of the Operating Room.
