海军医学杂志2022年12月第43卷第12期JournalofNavyMedicine,Vol.43,No.12,Dec.2022基于流程再造理论优化院前检查流程的效果评价刘燕芳,路小娟,陈珏,伏春婷,连小琴,周丽萍[摘要]目的应用流程再造理论对院前检查流程进行再造,更全面、更系统、更便捷地做好院前检查,提升患者就医体验。方法对院前检查流程进行删除、添加、组合、简化等,以达到流程优化。结果流程再造后,患者取号错误率从再造前37.59%降至再造后1.03%,接待时间从(16.96±0.18)min缩短至(5.13±0.07)min,医嘱不合格率从改造前2.92%降至改造后0.66%,减少了纸张浪费。结论以流程再造理论为指导,优化流程,可提高工作效率,减少浪费,更全面地做好术前准备。[关键词]院前检查;流程再造;优化流程[中图分类号]R197.32[文献标志码]A[DOI]10.3969/j.issn.1009-0754.2022.12.019Effectevaluationofoptimizingpre⁃hospitalexaminationbasedontheprocessreengineeringtheoryLiuYanfang,LuXiaojuan,ChenJue,FuChunting,LianXiaoqin,ZhouLiping(DepartmentofOutpatient,FirstAffiliatedHospital,NavalMedicalUniversity,Shanghai200433,China)[Abstract]ObjectiveToreengineerpre⁃hospitalexaminationprocessbyusingprocessreengineeringtheory,soastofulfilpre⁃hospitalexaminationmorecomprehensively,systematicallyandconveniently,andenhancepatients’medicalexperience.MethodsToachieveprocessoptimization,pre⁃hospitalexaminationprocesseswereeitherdeleted,added,combinedorsimplified.ResultsAfterprocessreengineering,theerrorrateofthepatientsingettingwrongnumbersdecreasedfrom37.59%to1.03%.Theaveragepatientreceptiontimewasshortenedfrom(16.96±0.18)to(5.13±0.07)minutes.Atthesametime,paperwastewasalsoreducedandunqualifiedrateofmedicalordersdecreasedfrom2.92%to0.66%.ConclusionUnderthedirectionofreengineeringtheory,theoptimizationofpre⁃hospitalexaminationprocesscouldincreaseworkingefficiency,reducewasteandfacilitatebetterpre⁃surgicalpreparations.[Keywords]Pre⁃hospitalexamination;Processreengineering;Processoptimization流程再造理论早在1990年就被美国麻省理工大学教授MichaelHammer博士和CSC管理顾问公司JamesChampy提出,通过采取删除、组合、添加、分离、修改、...