医院手术间使用率现状及其影响因素研究.PDFVIP

手术室管理专题 Topical Issues 医院手术间使用率现状及其影响因素研究 刘玉英 杨明莹 林珂 杨春梅 [ 摘 要] 目的：通过对云南省 2所三级甲等医院洁净手术室各项运作性指标的动态监测，了解手术间使用率现状及其影响 因素。方法：收集 2013 年1月至 2014 年1月云南省 2所三级甲等医院的17 136 例外科手术信息，收集范围为每家医院各5间 洁净手术间周一至周五的择期常规外科手术。结果：手术间使用率为（99.52±1.19)%，其中使用率大于100%的占47.0%，使用 率为 80%～100% 的占45.2%，使用率低于80% 的占 7.8%。回归分析结果显示，以下6 个因素影响手术间使用率（P0.01）： 手术结束时间比预计提前、外科医生是否准时下刀、手术接台之间准备的时间、手术延迟时间、手术间是否被重新安排和手术 间是否盈利。结论：有效评估手术间使用率的影响因素，对提高手术间使用率和优化洁净手术室管理、合理利用医疗资源具有 积极意义。 [ 关键词 ] 洁净手术室；手术间使用率；手术室运作性指标 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2014.10.015 Investigation about effective utilization of clean operating rooms at hospitals / LIU Yuying, YANG Mingying, LIN Ke, et al. // Operating room of the Second Affiliated Hospital of Kunming Medical University, Yunnan province, 650101 China /// Chinese Nursing Management-2014,14(10): 1051-1054 [ ] Abstract Objective: To measure the dynamics of operating rooms using operational indexes that reflected the factors of optimization and resistance and also identified the factors associated with the utilization rate of operating room. Methods: The sample consisted of 17 136 cases of operation in two tertiary hospitals in Yunnan province. Data were collected during 12 months from January 2013 to January 2014. Results: The results of utilization rate of operating room was (99.52±1.19)%, of that the 47.0% cases were more than one hundred percent, 45.2% were between eighty percent and hundred percent, and 7.8% were lower than eighty percent. Among all independent variables, only six was significantly associated with dependent variables (P0.01). Conclusion: The eff