Objective To explore the application of fine management in management of nurse′s aide in operating room under the condition of informatization without full coverage. Methods The fine management was carried out in nurse′s aide of operating room from July 2015 involving human resource integration, perfecting training system and job responsibilities, optimizing the workflow. And then, we compared the differences in the satisfaction of medical staff with the nurse′s aide, rate of cleaning in health department of responsibility, incidence of sharp instrument injury and dropout rate of nurse′s aide before ( January 2015 to June 2015) and after ( July 2015 to December 2015) implementation. Results After the implementation of fine management, the satisfaction rate of medical staff increased from 90% to 95%; the rate of cleaning in health department of responsibility increased from 80% to 95%; the incidence of sharp instrument injury decreased from 25.0% to 12.5%; the dropout rate of nurse′s aide decreased from 18.7% to 12.5%. There were statistically significant differences in all of them before and after implementation (χ2=12.53,8.12,6.78,7.93;P<0.01).Conclusions The application of fine management in nurse′s aide of operating room improves the satisfaction rate of doctors and nurses as well as the satisfaction rate of nurse′s aide with a win-win situation.

Objective To explore the effects of the three-level management model in Operation Room (OR) management.Methods A vertical management system covering head nurses, special team leaders and team members, namely, a three-level management model, was built. The general management conducted in 2015 were selected as a control group, while the three-level management model adopted in 2016 was investigated as an observation group. Then the nursing quality aspects such as preoperative material preparation, skilled procedure coordination, timely passing of instrument, professional knowledge and aseptic processing as well as the satisfaction among doctors, patients and instrament respair rate, damage rate and loss rate in OR were compared between the two groups.Results After the three-level management model was adopted, patients, doctors showed higher satisfaction in their self-evaluation than before (P<0.05). Instrument respair rate, damage rate and loss rate were lower than before the implementation(P<0.05).Conclusions The three-level management model, when applied in OR management, can improve the nursing quality and motivate OR nurses, thus accelerating the cultivation of OR nursing staff and specialized construction.