数字化手术室信息管理系统对神经专科手术相关人员工作效率及手术安全的影响

doi:10.3760/cma.j.cn441417-20250415-18029

国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (18): 3138-3142.DOI: 10.3760/cma.j.cn441417-20250415-18029

数字化手术室信息管理系统对神经专科手术相关人员工作效率及手术安全的影响

高慧¹ 常慧¹ 马晓媛¹ 马刘佳² 何秀莉¹

¹延安大学附属医院心脑血管病医院麻醉手术室，延安 716000；²延安大学附属医院心脑血管病医院神经血管介入治疗中心，延安 716000

收稿日期:2025-04-15 出版日期:2025-09-15 发布日期:2025-09-28
通讯作者: 何秀莉，Email：981186240@qq.com
基金资助:
国家卫生健康委医院管理研究所（GYZ2023SZ05）

Effect of digital operating room information management system on work efficiency and operation safety of neurosurgery related personnel

Gao Hui¹, Chang Hui¹, Ma Xiaoyuan¹, Ma Liujia², He Xiuli¹

¹Anesthesia and Surgery Department, Cardia-cerebrovascular Disease Hospital, Yan'an University Affiliated Hospital, Yan'an 716000, China; ²Neurovascular Intervention Treatment Center, Cardia-cerebrovascular Disease Hospital, Yan'an University Affiliated Hospital, Yan'an 716000, China

Received:2025-04-15 Online:2025-09-15 Published:2025-09-28
Contact: He Xiuli, Email: 981186240@qq.com
Supported by:
Institute of Hospital Management National Health Commission(GYZ2023SZ05 )

摘要/Abstract

摘要：

目的　探究数字化手术室信息管理系统对神经专科手术相关人员工作效率及手术安全的影响。方法　回顾性分析2024年1月至12月延安大学附属医院心脑血管病医院手术室神经专科手术相关记录资料，包括手术类型、麻醉方式、手术时间。2024年1月至6月为数字化手术室信息管理系统应用前，2024年7月至12月为应用后。应用前后分别抽取手术台次104台、112台，同时共纳入医护人员23名，其中手术医师12名、麻醉医师4名、手术室护士7名。医护人员男9名、女14名，年龄（32.67±5.98）岁。对比应用前后手术治疗中医护人员工作效率、安全性核查执行率及手术室差错发生情况，同时评估手术室医务人员对系统的满意度［后测系统可用性问卷（PSSUQ）评分］。统计学方法采用t检验、χ²检验。结果　应用后物品准备时间［（21.26±6.02）min］、患者静脉通路开通时间［（6.14±1.29）min］、麻醉完成时间［（15.28±5.29）min］、接台周转时间［（24.37±5.61）min］均短于应用前［（30.25±7.25）min、（9.26±2.33）min、（21.25±6.38）min、（32.69±5.45）min］，差异均有统计学意义（均P<0.05）。应用后医护人员麻醉前、手术前、离室前的安全核查执行率均高于应用前［97.32%（109/112）比89.42%（93/104）、98.21%（110/112）比91.35%（95/104）、98.21%（110/112）比90.38%（94/104）］，手术室差错发生率低于应用前［3.57%（4/112）比11.54%（12/112）］，差异均有统计学意义（均P<0.05）。应用后，对手术室纳入研究的医护人员进行系统满意度调查，结果显示，手术室医务人员对系统的满意度评价总分为（97.44±11.08）分，各条目均分为（6.08±0.68）分。结论　数字化手术室信息管理系统通过优化神经专科手术室管理流程、提高信息准确性和实时性，有效提升了神经专科手术相关人员的工作效率，同时减少手术差错，提高手术安全质量，且神经专科手术相关人员对该系统的满意度较高。

关键词:

数字化手术室, 手术室信息管理系统, 神经专科, 工作效率, 手术安全

Abstract:

Objective　To explore the effect of digital operating room information management system on the work efficiency and surgical safety of neurosurgical related personnel. Methods　The data of neurological surgery in the operating room of the Cardia-cerebrovascular Disease Hospital, Yan'an University Affiliated Hospital from January to December 2024 were retrospectively analyzed, including operation type, anesthesia method, and operation time. From January to June 2024, it was before the application of digital operating room information management system, and from July to December 2024, it was after the application. Before and after the application, 104 and 112 operation sets were selected respectively, and 23 medical staff were included, including 12 surgeons, 4 anesthesiologists, and 7 operating room nurses. There were 9 males and 14 females (32.67±5.98) years old. The work efficiencies safety verification execution rates and operating room errors of medical staff during surgical treatment before and after application were compared, and the satisfaction of medical staff in the operating room with the system [post-test system usability questionnaire (PSSUQ) score ] was evaluated. The statistical methods were t test and χ² test. Results　After the application, the preparation time of the items, the opening time of the patients' venous fluid access, the completion time of the anesthesia, and the turnaround time were shorter than those before the application [(21.26±6.02) min vs. (30.25±7.25) min, (6.14±1.29) min vs. (9.26±2.33) min, (15.28±5.29) min vs. (21.25±6.38) min, and (24.37±5.61) min vs. (32.69±5.45) min], with statistical differences (all P<0.05). After the application, the safety verification execution rates of medical staff before anesthesia, before operation, and before leaving the room were higher than those before application [97.32% (109/112) vs. 89.42% (93/104), 98.21% (110/112) vs. 91.35% (95/104), 98.21% (110/112) vs. 90.38% (94/104)], and the incidence rate of operating room errors was lower than that before the application [3.57% (4/112) vs. 11.54% (12/112)], with statistical differences (all P<0.05). After the application, the system satisfaction survey was conducted on the medical staff included in the study in the operating room. The results showed that the total score of the satisfaction evaluation of the system by the medical staff in the operating room was 97.44±11.08, and the average score of each item was 6.08±0.68. Conclusions　The digital operating room information management system effectively improves the work efficiency of neurosurgical related personnel by optimizing the management process of neurosurgical operating room and improving the accuracy and real-time of information. At the same time, it reduces surgical errors and improves the safety and quality of surgery.

Key words:

Digital operation room, Operation room information management system, Neurology, Work efficiency, Surgical safety

高慧常慧马晓媛马刘佳何秀莉.

数字化手术室信息管理系统对神经专科手术相关人员工作效率及手术安全的影响 [J]. 国际医药卫生导报, 2025, 31(18): 3138-3142.

Gao Hui, Chang Hui, Ma Xiaoyuan, Ma Liujia, He Xiuli.

Effect of digital operating room information management system on work efficiency and operation safety of neurosurgery related personnel [J]. International Medicine and Health Guidance News, 2025, 31(18): 3138-3142.

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数字化手术室信息管理系统对神经专科手术相关人员工作效率及手术安全的影响

Effect of digital operating room information management system on work efficiency and operation safety of neurosurgery related personnel

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