門診病患等候手術時間之改善方案

The Improvement Plan of Surgery Waiting Time for Outpatients

本專案目的乃在縮短門診病患等候手術時間，以提升醫療服務效率。於2002年7月針對200位門診病患進行等候手術時間之調查，發現認為合理等候時間在30分鐘以下者177位(88.5%)，而等候手術時間超過30分鐘者118人(59.0%)。同時調查等候手術時間過長的原因，發現有因臨時增加手術而致護士人力調度不易、病患遲到以致手術時間延誤影響排程、消毒鍋老舊致消毒耗時，而耽誤手術時間、同時段該科手術排程過多，以致醫師人力調度不易。2002年9月針對原因執行改善措施：1.建立「手術室排程管理系統」；2.制訂護理人力支援原則；3.建立醫師聯繫流程；4.向病患宣導準時到院之重要性；5.增購手術室設備。改善措施實施後訪查107位門診手術病患，發現等候手術時間超過30分鐘者13位(12.1%)，結果顯示本專案能有效地降低門診病患等候手術時間之比率由59.0%降為12.1%。The surgery waiting time for outpatients excessively long would affect the satisfaction of patients. The goal of this program is to reduce the outpatient surgery waiting time in order to promotes the medical service efficiency. In July, 2002 we did the questionnaires for 200 outpatients who waited for the surgery time and found the result: over 177 (88.5 %) agreed the reasonable waiting hour was with in 30 minutes, while 118(59.0%) agreed over 30 minutes, therefore we revised the reasonable time to 30 minutes. At the same time we also discovered the reasons of the long waiting surgery time as follows: extra operations to cause less nurse manpower patients delay for the surgery less doctor manpower doctors’ non- reply call the old type of sterilizer taking too much time and excessive numbers of surgeries in the operation room. In September, 2002, in view of the reasons to execute improvement measures, we implemented: 1. Establishing information system for the operating management, 2. Establishing nurse manpower supporting principle, 3. Building a connection flowehart with doctors, 4. Guiding patients to attend hospital on time, 5. Increasing more equipments in surgery room. Afterward we interviewed 107 outpatients who waited for doing surgery°G13 (12.1 %) outpatients who were waiting for the surgery over 30 minutes. It shows this plan would effectively reduce the outpatient surgery waitingtime from 59.0 % to 12.1 %.