Application of root cause analysis in increasing the punctuality rate of the first surgery
根本原因分析在增加首台手术准点率中的应用

摘要

目的 探究根本原因分析对增加首台手术准点率的应用效果。方法 收集2024年1月至6月在我院手术室进行的首台择期手术540例，统计其中出现首台手术推迟的272例，运用根本原因分析方法对手术推迟进行原因分析，找出直接原因及根本原因，并制定改进策略，运用于2024年7月至12月的首台择期手术501例。比较实施前后首台手术准点率。结果 根因分析法实施后，首台手术准点率由49.6%提高到80.4%，差异有统计学意义（P＜0.05）。结论 应用根因分析法能有效增加首台手术准点率。

Abstract

Objective To explore the values of root cause analysis to increase the punctuality rate of the first surgery.
Methods 272 first operation delay cases of 540 cases receiving non emergency and first elective operation in our operation room (from Jan.2024 to Jun.2024) were selected as the subjects and analyzed the reasons to identify the root causes or the proximal causes and develop and implement improvement measures. We take these measures in 501 cases receiving non emergency and first elective operation in our operation room (from Jul.2024 to Dec.2024) and compared the punctuality rate of the first surgery.
Results The punctuality rate of the first surgery was increased from 49.6% to 80.4%, and the difference had a statistical significance(P<0.05).
Conclusion   The application of root cause analysis can improve the punctuality rate of the first surgery effectively.