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日常病例分配调度的管理决策及其对围手术期质量保证的影响。

Managerial Decision-making for Daily Case Allocation Scheduling and the Impact on Perioperative Quality Assurance.

作者信息

Zhu Minmin, Yang Zhengli, Liang Xiao, Lu Xiaojie, Sahota Gurmukh, Liu Renyu, Yi Lihua

机构信息

Department of Anesthesiology, Wuxi Second Hospital, Nanjing Medical University.

Department of Nurse, Wuxi Second Hospital, Nanjing Medical University.

出版信息

Transl Perioper Pain Med. 2016;1(4):20-30.

Abstract

Allocation scheduling for daily surgical cases is a decision-making process tasked to anesthesiologists and nurse managers in the operating room (OR). This manuscript focuses on three major areas: the classification and principles of allocation scheduling on workdays in China, flexible strategies of operational decision-making given differences in planned versus actual OR allocations, and perioperative quality implications of anesthesia scheduling. Improved quality and optimal decision-making in daily surgical case scheduling is seen with shift supervisor-based scheduling of staff and cases when compared with staff and case scheduling managed by the departmental director or chief resident.

摘要

日常手术病例的分配调度是手术室麻醉医生和护士管理人员负责的决策过程。本手稿重点关注三个主要领域:中国工作日分配调度的分类和原则、考虑计划与实际手术室分配差异时运营决策的灵活策略,以及麻醉调度对围手术期质量的影响。与由科室主任或总住院医师管理的人员和病例调度相比,基于轮班主管的人员和病例调度在日常手术病例调度中能实现更高的质量和优化决策。

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