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. 陳亞玲, 莫洋, 譚亮, 等. 綜合性醫院日間手術中心的建設和運營管理. 華西醫學, 2019, 34(2): 127-132.
2. 李江峰, 任毅, 劉淑紅, 等. 大數據在醫院精細化績效管理中的應用研究. 中國醫院管理, 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. 國家衛生健康委員會辦公廳. 關于印發全國醫院信息化建設標準與規范(試行)的通知(國衛辦規劃發[2018]4 號). (2018-04-13)[2021-06-01]. http://www.nhc.gov.cn/guihuaxxs/gongwen12/201804/5711872560ad4866a8f500814dcd7ddd.shtml.
5. 百度百科. 飛常準. (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. 國家衛健委: 2019 年全國啟動三級公立醫院績效考核工作, 考核分四大維度. (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, 申海艷, 伍沛, 等. 信息化技術在手術室管理中的應用進展. 護理學雜志, 2019, 34(4): 106-110.
9. 俞斌, 馬戈, 張濤. 日間手術信息化管理功能模塊建設經驗分享. 華西醫學, 2022, 37(2): 278-281.
10. 仇嬡雯, 姚晶晶, 陳東, 等. 公立醫院經濟管理大數據采集機制研究. 中國衛生經濟, 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. 眼科日間手術信息化管理體系的構建. 中華醫院管理雜志, 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. 創傷手術引起的并發癥的研究進展(摘譯). 國際外科學雜志, 2011(11): 781-782.
15. 王冉, 劉婷, 王天龍, 等. 基于信息化平臺手術患者轉運“搶單”模式的構建及應用. 北京醫學, 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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