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目的:探讨精细化管理在普外科手术患者安全管理中的应用效果。方法:将自2013年11月~2014年1月来浙江省兰溪市人民医院普外科进行普外科手术的318例患者随机分为实验组和观察组两组。对照组手术前后采用常规管理,实验组在常规管理基础上加以精细化管理措施,对比两组病人术后并发症发生情况、医疗事故发生率以及病人满意度。结果:与对照组比较,实验组并发症发生率6.9%,医疗事故发生概率1.8%,分别低于对照组的16.3%和4.4%(P<0.05);实验组病人对管理总满意率为94.0%,显著高于对照组的70.5%(P<0.05)。结论:将精细化管理理念运用到普外科手术患者安全管理中,在降低病人手术并发症和医疗风险的同时提高了病人对医院管理的满意度。
Objective: To explore the application of meticulous management in the safety management of general surgery patients. Methods: A total of 318 patients undergoing general surgery from General Surgery, Lanxi People ’s Hospital, Zhejiang Province from November 2013 to January 2014 were randomly divided into experimental group and observation group. Control group before and after the operation of conventional management, experimental group on the basis of conventional management to be refined management measures to compare the incidence of postoperative complications in both groups, the incidence of medical accidents and patient satisfaction. Results: Compared with the control group, the incidence of complications in the experimental group was 6.9% and the incidence of medical accidents was 1.8%, which were lower than those in the control group by 16.3% and 4.4%, respectively (P <0.05). The total satisfaction rate of the experimental group was 94.0 %, Which was significantly higher than that of the control group (70.5%, P <0.05). Conclusion: The concept of meticulous management is applied to the safety management of general surgery patients, which can improve patient satisfaction with hospital management while reducing surgical complications and medical risks.