国际医药卫生导报 ›› 2022, Vol. 28 ›› Issue (16): 2359-2361.DOI: 10.3760/cma.j.issn.1007-1245.2022.16.033

• 护理研究 • 上一篇    下一篇

手术室采用信息化交接班方式的效果分析

黄世杰  陈晓霞  刘小民  张新芳  宋海娟   

  1. 广东省人民医院 广东省医学科学院心脏外科手术室,广州 510080
  • 收稿日期:2022-04-08 出版日期:2022-08-15 发布日期:2022-08-15
  • 通讯作者: 陈晓霞,Email:chenxiaoxia@163.com

Analysis on the effect of information handover in operating room

Huang Shijie, Chen Xiaoxia, Liu Xiaomin, Zhang Xinfang, Song Haijuan   

  1. Heart Surgery Operating Room, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China
  • Received:2022-04-08 Online:2022-08-15 Published:2022-08-15
  • Contact: Chen Xiaoxia, Email: chenxiaoxia@163.com

摘要: 目的 探讨信息化交接班流程与书面交接班流程的优劣。方法 采用回顾性研究,选取2019年1月至2020年12月在广东省人民医院心脏科手术室接受主动脉夹层手术的患者414例为研究对象,其中男357例(86.2%),女57例(13.8%),年龄(51.3±10.7)岁。按照交接班方式分为试验组(信息化交接班)和对照组(书面交接班),试验组193例,对照组221例。主要观察指标为交接班问题发生率、交班时间及交班后电话回访率。统计学方法采用独立样本t检验、Mann-Whitney U检验、χ2检验。结果 使用信息化交接班方式后,试验组的交接班问题发生率低于对照组[15.5%(30/193)比26.7%(59/221)],交班时间短于对照组[2.5(2.0,3.2)min比5.0(4.2,6.0)min],交班后电话回访率较对照组下降[13.0%(25/193)比22.6%(50/221)],上述指标两组比较差异均有统计学意义(均P<0.05)。结论 采用优化后信息化交接班方式,可以减少手术室交接班问题,降低电话回访率,缩短交接班时间,提高交班效率。

关键词: 手术室, 信息化, 交接班

Abstract: Objective To explore the advantages and disadvantages of the information handover process and written handover process. Methods on 414 patients who underwent aortic dissection surgery in Heart Surgery Operating Room, Guangdong Provincial People's Hospital from January 2019 to December 2020. There were 357 males (86.2%) and 57 females (13.8%), aged (51.3±10.7) years. According to the ways of handover, they were divided into an experimental group (information handover) and a control group (written handover). There were 193 cases in the experimental group and 221 cases in the control group. The main observation indexes were the incidence of handover related problems, handover time, and telephone follow-up rate after handover. Independent sample t test, Mann-Whitney U test, and χ2 test were used. Results After the use of information handover mode, the incidence of handover related problems in the experimental group was lower than that in the control group [15.5% (30/193) vs. 26.7% (59/221)], and the handover time was shorter than that in the control group [2.5 (2.0, 3.2) min vs. 5.0 (4.2, 6.0) min], the telephone follow-up rate after handover was lower than that in the control group [13.0% (25/193) vs. 22.6% (50/221)], and there were statistically significant differences in the above indicators between the two groups (all P<0.05). Conclusion The optimized information handover mode can reduce the handover related problems and telephone follow-up rate in operating room, shorten the handover time, and improve the handover efficiency.

Key words: Operating room, Informatization, Handover