Application of optimized distribution and subarea administration in the transfusion department of out-patient and emergency
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摘要:目的 探讨优化布局和分区管理在门急诊输液室的应用效果。方法 调整门急诊输液室布局, 增设输液接待处和皮试观察区。输液区分为成人输液区、儿童输液区和床位输液室, 3个输液区的座椅和放置输液袋的篮筐分别为蓝色、粉色和白色，利于区分和辨识。采用问卷调查的方式评价优化布局和分区管理的实施效果，对实施前后患者的排队等候时间和综合满意度进行比较分析。结果 优化布局和分区管理前后的有效调查问卷率差异无统计学意义(P>0.05); 优化布局和分区管理后患者排队等候的时间显著缩短(P < 0.05), 综合满意度显著提高(P < 0.05)。结论 门急诊输液室实行优化布局和分区管理，提高了护士的工作效率，缩短了患者的排队等候时间，提高了患者满意度。Abstract:Objective To evaluate the effect of optimized distribution and subarea administration in the transfusion department of out-patient and emergency.Methods The distribution of the transfusion department of out-patient and emergency were rearranged, adding infusion reception and the part for skin test. The infusion area was divided into adult infusion, children infusion and bed infusion areas, the seats and the infusion baskets of 3 parts were blue, pink and white respectively in order to be identified easily. Questionnaire investigation were applied to evaluate the effect of arrangement optimization and subarea administration. The waiting time in line and the general satisfaction rate of patients were analyzed between before and after the improvement.Results There was no significant difference in effective rate of questionnaire pre- and post-spatial layout optimization and subarea administration(P>0.05). The waiting time of patients after optimized distribution and subarea administration were significantly less, the total satisfaction of patients was higher(P < 0.05).Conclusion Distribution optimization and subarea administration in the transfusion department of out-patient and emergency can improve nurse′s working efficiency, shorten the patients′waiting time and increase the satisfaction of patients.
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表 1 有效调查问卷率、患者排队等候时间和综合满意度比较(x±s)
时间 有效问卷/份 无效问卷/份 患者排队等候时间/min 患者综合满意度/分 优化前 189 11 42.3±10.1 8.9±2.1 优化后 194 6 10.4±3.5* 9.4±1.1* 与优化前比较, *P < 0.05。 
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