目的 探讨全资多院区手术室的管理方法,保障各院区手术室具有相同的护理质量,以满足各专科手术的需求,保障手术患者的安全.方法 设置手术室三级管理构架,实行3个院区统一质量管理;建立统一培训体系,以保障手术室护士的专业能力具有相同的水平;实行基础人力资源均衡分配,结合高弹人力资源调配机制及轮转制度,使人力资源效能充分发挥;依托信息集成系统,兼顾手术医生各院区工作的手术排程;通过院区间器械联动机制,实行成本控制.结果 3个院区的手术室护理质量评分比较,差异无统计学意义(P>0.05);手术医生满意度与主院区相同,均高于97%;器械购置成本节省170.48万元.结论 实行多院区手术室管理,可满足临床需求,保证手术室的护理质量,节约人力资源,降低手术室运行成本.%Objective To explore a new approach of operating room (OR) management to ensure quality of care for surgical patients in a general public hospital with wholly-owned campuses. Methods The three-grade manageri-al structure for operating room was established,unified quality management was conducted in three campuses. Uni-fied training system was established to ensure the same level of professional competence among nurses. Highly flex-ible human resources allocation plan was performed for better staff rotation arrangement. Depending on information integration system,operation schedules of surgeons at all campuses were taken into consideration. Through instruments linkage among campuses,cost control was accomplished via scientific performance allocation mechanism. Results There was no statistically significant difference both in nursing quality scores and work satisfaction level of sur-geons for OR nurses among three campuses (P>0.05). The acquisition cost of instruments was reduced by 1.7048 million Yuan. Conclusion The new approach of operating room management guaranteed the quality of nursing care for surgical patients in three campuses,saved labor and financial cost in OR.
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