Perceived quality of patient-centered practice in surgical services designed for elderly orthopedic patients
10.3760/cma.j.issn.0254-9026.2021.06.016
- VernacularTitle:以患者为中心的理念在老年骨科手术服务感知质量指标的设计与实践
- Author:
Fei WANG
1
;
Haifei XIANG
;
Weiping WANG
;
Haidan SHI
;
Liping JIA
Author Information
1. 浙江省台州医院 台州恩泽医疗中心（集团）恩泽医院手术室 318050
- Keywords:
Perception of surgical service;
Quality indicators
- From:
Chinese Journal of Geriatrics
2021;40(6):766-769
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effects on perceived quality of a management assessment system for orthopedic surgery in elderly patients.Methods:Based on the concept of lean management and process nodes in systems, an information management system was established to evaluate the perceived quality of surgical service for elderly orthopedic patients.Four hundred and two elderly orthopedic patients receiving orthopedic surgery after the implementation of the management system were included in the observation group, while 402 elderly patients undergoing orthopedic surgery before the implementation of management system formed the control group.Results:The incidence of hypothermia in patients admitted to the resuscitation room after surgery was lower in the observation group than in the control group(1.7% vs.4.5%, χ2=5.136、 P=0.023). The incidence of shivering during resuscitation was lower and the satisfaction rate of surgical services was higher in the observation group than in the control group(0.7% vs.3.2%) χ2=5.279、 P=0.022, 96.55(95.58, 97.28)分, vs.87.9(83.2, 89.95)分, Z=-4.16, P=0.00). Conclusions:A perceived quality assessment system composed of lean management and information technology for surgical services can reduce complications and improve satisfaction for patients receiving surgery.
