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目的:探讨医院船手术室精细化管理对手术量效的影响。方法:汇总医院船3次赴海外医疗服务相关资料,筛选5个最高单日手术量超过20例且展开4间手术室的高峰手术日,分析了根据手术病种及麻醉方式合理安排手术台次和医疗仪器设备、调整医护人员分布等精细化管理对手术量效的影响,并与同等规模驻地医院量效进行比较。结果:每间手术室日完成手术量5或6台次,平均每间每天工作时间为(9.3±1.6)h,每台衔接紧凑,每间手术室开台时间与其他手术室开接台时间未发生重叠,手术量效比高于同等规模驻地医院日常水平。结论:精细化管理能够有效提高医院船手术室日通过手术量及安全系数。
Objective: To investigate the effect of meticulous management of operation room of hospital ship on the effect of operation. Methods: The hospital ships were collected three times to overseas medical services related information, screening five highest single-day operation of more than 20 cases and the commencement of the four operating room peak surgery day, according to surgical diseases and anesthesia to arrange a reasonable arrangement of operating table And medical equipment and equipment, adjusting the distribution of medical staff and other refined management of the effect of the amount of surgery, and with the same size resident hospital dose-effect comparison. Results: The number of operations performed on each operating room day was 5 or 6, and the average working time per day was (9.3 ± 1.6) h, with a tight connection between each operating room and other operating rooms No overlap occurred, and the volume-effective surgery was higher than the daily level of resident hospitals of the same scale. Conclusion: The meticulous management can effectively improve the operation volume and safety factor of operating room of hospital ship.