摘要
目的旨在通过智能手术排程系统优化手术安排,提高手术室利用率与患者满意度。方法系统基于数据中台,以SQL Server 2016、Visual Studio 2019及C#构建Vue+.Net Core前后端分离B/S架构。设计含手术室预分配、医师与手术室映射、手术排序与调度的智能算法,开发6大模块实现手术自动排班与手动调整。以2024年4—9月13313条智能排程数据为观察组,2023年同期12442条手工排程数据为对照组(护士人数、手术室数量相近),对比8项评价指标。结果基于数据中台的智能手术排程系统实现了手术排程、人员排班的智能化管理,并结合排程结果实现了智能提醒及手术室业务智能分析功能。临床应用显示,与系统应用前相比,术前等候时间缩减16%,护士加班时长降低16%,手术排程效率提升62%,手术调整频率降低35%,手术错漏情况减少60%,日均手术量增长8.2%,患者满意度上升1.3%,手术准台率提高22.5%,差异均有统计学意义(P<0.05)。结论智能手术排程系统是现代医院管理中的重要工具,其能通过智能化、自动化的方式优化手术排程、提高手术室利用率、减少手术延误及提升患者满意度。
Objective To optimize surgical arrangement through an intelligent surgical scheduling system,thereby improving operating room utilization and patient satisfaction.Methods The system was built on a data middle platform,adopting SQL Server 2016,Visual Studio 2019,and C#to construct a B/S architecture with a front-end and back-end separation based on Vue+.Net Core.An intelligent algorithm including operating room pre-allocation,doctor-operating room mapping,and surgical sequencing and scheduling was designed,and 6 major modules were developed to realize automatic and manual surgical scheduling.A total of 13313 pieces of intelligent scheduling data from April to September 2024 were selected as the observation group,while 12442 pieces of manual scheduling data from the same period in 2023 served as the control group(with similar numbers of nurses and operating rooms).Eight evaluation indicators were compared between the two groups.Results The intelligent surgical scheduling system based on the data middle platform has realized the intelligent management of surgical scheduling and staff scheduling,and has also achieved the functions of intelligent reminders based on scheduling results and intelligent analysis of operating room services.Clinical application showed that compared with the period before the system was applied,the preoperative waiting time was reduced by 16%,nurses’overtime hours decreased by 16%,surgical scheduling efficiency increased by 62%,the frequency of surgical adjustments decreased by 35%,the incidence of surgical errors and omissions reduced by 60%,the daily average number of surgeries increased by 8.2%,patient satisfaction rose by 1.3%,and the surgical on-time rate improved by 22.5%,all these indicator differences are statistically significant(P<0.05).Conclusion The intelligent surgical scheduling system is an important tool in modern hospital management.It can optimize surgical scheduling,improve operating room utilization,reduce surgical delays,and enhance patient satisfaction through intelligent and automated means.
作者
周宗振
袁骏毅
ZHOU Zongzhen;YUAN Junyi(Information Center,Shanghai Chest Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200030,China)
出处
《中国医疗设备》
2025年第9期71-79,共9页
China Medical Devices
基金
上海市城市数字化转型专项资金项目(202301002)
上海市促进产业高质量发展专项(2024-GZL-RGZN-02011)。
关键词
智能手术排程
数据中台
自动化
智能化
手术室利用率
患者满意度
intelligent surgical scheduling
data middle platform
automation
intellectualization
operating room utilization
patient satisfaction
