Research on the application of personal digital assistant information system based on “VariFlight” in the operation management of third-grade class-A hospital_West China Medical Journal

Authors：

XUE Chaoli ¹ , GAO Ju ¹ , XUE Haixia ¹ ,  XU Daoliang ² ,  SHU Yusheng ²

1. Department of Anesthesiology, Northern Jiangsu People’s Hospital, Yangzhou, Jiangsu 225001, P. R. China;
2. Office of the Dean, Northern Jiangsu People’s Hospital, Yangzhou, Jiangsu 225001, P. R. China;

Corresponding author：

XU Daoliang, Email: yzxdl@126.com; SHU Yusheng, Email: shuyusheng65@163.com

Keywords：

Big data; personal digital assistant information system; surgical operation; operational efficiency; hospital management

DOI：

10.7507/1002-0179.202106064

Video：

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Objective To explore the impact of personal digital assistant (PDA) information system on surgery operations, so as to provide basis for improving the efficiency of surgery operations and building medical research databases. Methods The data of patients undergoing surgical treatment in Northern Jiangsu People’s Hospital between October 1, 2018 and September 30, 2020 were retrospectively analysised. According to whether to operate the PDA information system, the patients who did not use the PDA information system for surgical treatment between October 1, 2018 and September 30, 2019 were taken as the control group (before the operation), and the patients who used the PDA information system for surgical treatment between October 1, 2019 and September 30, 2020 were taken as the intervention group (after the operation). The quality of surgical operation, the time of anesthesia opening, the time of opening operation, the length of operation, and other operation indicators before and after the operation of the PDA information system were analyzed. Results A total of 59 610 patients were enrolled, including 27 726 in the control group and 31 884 in the intervention group. Compared with before the operation of the PDA information system, the total annual operation increased by 4 158 cases (15.00%), and the average turnover of per operation room increased (17.10%). The average anesthesia opening time is 14.52 minutes earlier. The average operation opening time is 18.25 minutes earlier. Except for gastrointestinal center surgery, thoracic surgery, neurology surgery, trauma center surgery, intensive care unit ward surgery, biliary and pancreatic surgery, hepatosplenic surgery, and other types of surgery (P>0.05), other types of surgeries were statistically significant differences in the operation duration before and after other operations (P<0.05). Conclusions The PDA information system developed based on "VariFlight" quantifies the quality of surgical operations more finely. It can effectively improve the operation efficiency and economic benefits of surgery, shorten the operation time, contribute to the construction of medical research databases.

Citation： XUE Chaoli, GAO Ju, XUE Haixia, XU Daoliang, SHU Yusheng. Research on the application of personal digital assistant information system based on “VariFlight” in the operation management of third-grade class-A hospital. West China Medical Journal, 2023, 38(1): 91-97. doi: 10.7507/1002-0179.202106064 Copy

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1. 陈亚玲, 莫洋, 谭亮, 等. 综合性医院日间手术中心的建设和运营管理. 华西医学, 2019, 34(2): 127-132.
2. 李江峰, 任毅, 刘淑红, 等. 大数据在医院精细化绩效管理中的应用研究. 中国医院管理, 2020, 40(6): 79-82.
3. Pysyk CL, Jee R, Zunder I. Change in staff anesthesiologists’ opinions of an Anesthesia Information Management System (AIMS). J Clin Monit Comput, 2019, 33(3): 541-542.
4. 国家卫生健康委员会办公厅. 关于印发全国医院信息化建设标准与规范(试行)的通知(国卫办规划发[2018]4 号). (2018-04-13)[2021-06-01]. http://www.nhc.gov.cn/guihuaxxs/gongwen12/201804/5711872560ad4866a8f500814dcd7ddd.shtml.
5. 百度百科. 飞常准. (2020-11-30)[2021-06-01]. https://baike.baidu.com/item/%E9%A3%9E%E5%B8%B8%E5%87%86/5620856?fr=Aladdin.
6. 周亦川, 袁月. 国家卫健委: 2019 年全国启动三级公立医院绩效考核工作, 考核分四大维度. (2019-01-30)[2021-06-01]. https://www.sohu.com/a/292410494_452205.
7. Simpao AF, Rehman MA. Anesthesia information management systems. Anesth Analg, 2018, 127(1): 90-94.
8. 孔珊珊, 申海艳, 伍沛, 等. 信息化技术在手术室管理中的应用进展. 护理学杂志, 2019, 34(4): 106-110.
9. 俞斌, 马戈, 张涛. 日间手术信息化管理功能模块建设经验分享. 华西医学, 2022, 37(2): 278-281.
10. 仇嫒雯, 姚晶晶, 陈东, 等. 公立医院经济管理大数据采集机制研究. 中国卫生经济, 2018, 37(11): 67-70.
11. Kristobak BM, Jabaut JM, Dickson CF, et al. Leveraging the existing anesthesia information management system to improve anesthesia quality assurance outcome reporting. Mil Med, 2021, 186(9/10): 1001-1009.
12. 高正, 干海琴. 眼科日间手术信息化管理体系的构建. 中华医院管理杂志, 2022, 38(1): 47-50.
13. Karhade AV, Fandino L, Gupta S, et al. Impact of operative length on post-operative complications in meningioma surgery: a NSQIP analysis. J Neurooncol, 2017, 131(1): 59-67.
14. 谷俊朝. 创伤手术引起的并发症的研究进展(摘译). 国际外科学杂志, 2011(11): 781-782.
15. 王冉, 刘婷, 王天龙, 等. 基于信息化平台手术患者转运“抢单”模式的构建及应用. 北京医学, 2021, 43(12): 1241-1243.

West China Medical Journal

Research on the application of personal digital assistant information system based on “VariFlight” in the operation management of third-grade class-A hospital

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