以质量求发展，以服务铸品牌

Journal of Nursing ›› 2023, Vol. 30 ›› Issue (9): 25-29.doi: 10.16460/j.issn1008-9969.2023.09.025

Previous Articles     Next Articles

Plan-Do-Check-Act practice of shortening preparation time of Da Vinci robotic operation

ZHANG Nana, MA Lib, LIU Guang-yingb, ZHOU Xue-tongb, AN Xiao-huab, TENG Minb   

  1. a. Special Nursing Clinic of East Area; b. Department of Anesthesia and Surgery of East Area, Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China
  • Received:2022-12-13 Online:2023-05-10 Published:2023-06-08

PDF (PC)

274

Like

Abstract: Objective To shorten the preoperative preparation time of Da Vinci robot surgery with Plan-Do-Check-Act (PDCA) circulation method, and to test its application effect. Methods By investigating the current situation of preoperative preparation time of Da Vinci's robotic surgery from March to May 2022, the PDCA circulation method was used from June to August to compare the preoperative preparation time before and after PDCA intervention. Results After PDCA circulation management, preoperative preparation time of Da Vinci robot surgery was shortened from (76.32±7.15) minutes to (60.31±5.97) minutes, with a statistically significant difference (P<0.05). Conclusion PDCA circulation method helps medical staff in operating room to understand Da Vinci robot, strengthens the training of Da Vinci robot's surgical cooperation, improves the problems such as incomplete preparation of preoperative supplies and unskilled operation before the operation, and effectively shortens the preparation time of the Da Vinci robot's operation.

Key words: operating room, robot, preoperative preparation time, PDCA circulation

CLC Number: 

  • R472.3
[1] 王恩运,吴学谦,薛莉,等.外科手术机器人的国内外发展概况及应用[J].中国医疗设备,2018,33(8):115-119.DOI:10.3969/j.issn.1674-1633.2018.08.029.
[2] 杜祥民,张永寿.达芬奇手术机器人系统介绍及应用进展[J].中国医学装备,2011,8(5):60-63.DOI:10.3969/j.issn.1672-8270.2011.05.021.
[3] Sert B M,Boggess J, Ahmad S, et al.Robot-assisted versus open radical hysterectomy: a multi-institutional experience for early-stage cervical cancer[J].European Journal of Surgical Oncology ,2016,42(2):513-522.
[4] Cohen TN, Anger JT, Shamash K, et al.Discovering the barriers to efficient robotic operating room turnover time: perceptions vs. reality[J]. Robot Surg, 2020,14(5):717-724. DOI:10.1007/s11701-020-01045-y.
[5] 林兰钦. 达芬奇机器人手术规范化护理配合及管理策略[J].福建医药杂志, 2019, 41(6):167-168.DOI:10.3969/j.issn.1672-8270.2011.05.021.
[6] 侯越,丁瑞芳,姜春平,等.达芬奇机器人手术护理团队的构建与管理策略[J].当代护士(下旬刊),2021,28(12):181-183.DOI:10.19793/j.cnki.1006-6411.2021.36.069.
[7] Giedelman C, Covas MM, Bhat S, et al.Establishing a successful robotic surgery program and improving operating room efficiency: literature review and our experience report[J]. Robot Surg. 2021,15(3):435-442. DOI:10.1007/s11701-020-01121-3.
[8] Souders CP, Catchpole KR, Wood LN, et al.Reducing operating room turnover time for robotic surgery using a Motor Racing Pit Stop Model[J]. World [J] Surg. 2017,41(8):1943-1949. DOI:10.1007/s00268-017-3936-4.
[9] Geldmaker LE, Hasse CH, Baird BA, et al.Analysis of operating room efficiency during robot-assisted urologic surgeries utilizing fixed (Nonprocedural) operative times[J]. Endourol, 2022,36(5):654-660. DOI:10.1089/end.2021.0673.
[10] 戴丹凤,华钫静.80/20法则在抢救车药品与物品管理中的应用[J].中医药管理杂志,2019, 27(23):76-77.DOI:10.16690/j.cnki.1007-9203.2019.23.033.
[11] 张曼曼,段红香,周晓阳,等.降低神经外科全麻手术患者术中低体温发生率的PDCA实践[J].护理学报,2021,28(12):10-15.DOI:10.16460/j.issn1008-9969.2021.12.010.
[12] 李莎,余文静,曹婷,等.达芬奇机器人手术专科护士培训模式构建[J]. 全科护理,2018,16(31):3946-3947.DOI:10.12104/j.issn.1674-4748.2018.31.044.
[13] 郭莉. 手术室护理时间指南(2020版)[M].北京:人民卫生出版社,2020.
[14] 陈中鑫,王烨佳,娄珂.环节管理对手术室准时开台率及接台时间的影响分析[J].临床护理杂志,2021,20(2):64-66.DOI:10.3969/j.issn.1671-8933.2021.02.023.
[15] 龚凤球,丁丽英,陈小俊,等.动漫视频在达芬奇机器人辅助泌尿外科手术培训中的应用[J].中华腔镜泌尿外科杂志(电子版),2017,11(5):349-354.DOI:10.3877/cma.j.issn.1674-3253.2017.05.014.
[16] 沈小芬,石泽亚,周毅峰,等.达芬奇机器人手术护士基于清单管理的培训[J].护理学杂志,2022,37(8):34-36.DOI:10.3870/j.issn.1001-4152.2022.08.034.
[17] 瞿田星. 手术室护士掌握达芬奇机器人基础操作技能的学习曲线[J].中华护理教育,2021,18(8):681-685.DOI:10.3761/j.issn.1672-9234.2021.08.002.
[18] 陆彤,李雪云.达芬奇机器人手术护理配合考核表的设计与应用[J].护理实践与研究,2020,17(10):117-119.
[19] 唐鲁,郭志红,朱国雄,等.香港达芬奇机器人手术护士培训课程介绍[J].护理学杂志,2015, 30(14):15-17.DOI:10.3870/hlxzz.2015.14.015.
[20] 姚一苇,何国龙,赵体玉,等.全国115家医院机器人外科手术系统使用及管理现状调查[J].护理学报, 2022,29(15):71-76.DOI:10.16460/j.issn1008-9969.2022.15.071.
[1] HE Qiu, HE Ying, LI Gui-fei, CHEN Xiao-ling, LI Li-jun, WANG Yao, LIU Jie, MA Dan, LIU Qian. Willingness to Use Accompanying Robots in the Elderly in Community：A Qualitative Study [J]. Journal of Nursing, 2022, 29(19): 6-10.
[2] YAO Yi-wei, HE Guo-long, ZHAO Ti-yu, LI Xiao-dan, GUO Yue, LI Qiao. Application and Management of Robotic Surgery System in 115 Hospitals [J]. Journal of Nursing, 2022, 29(15): 71-76.
[3] WANG Bao-jun, TANG Xing-xing, ZHU She-ning, CHENG Yu-jin, ZHANG Han-yu. Establishment and Practice of Nursing Mode of Neonatal Umbilical Cord Cutting during Cesarean Section Led by Nurses in Operating Room [J]. Journal of Nursing, 2022, 29(10): 30-33.
[4] YIN Dan-na, LUO Jing, XU Fei, FENG Qian, CHEN Yan, LI Hong. Internet Plus-based Mobile Nurse Station combined with ISBAR Communication Mode in Shift in Operating Room [J]. Journal of Nursing, 2021, 28(24): 26-30.
[5] YANG Zhen, HU Teng-fei, CAO Li-li, WANG Xiao-bin, YANG Guang. Effect of Videoblog in Teaching of Operating Room Nursing [J]. Journal of Nursing, 2021, 28(17): 20-22.
[6] ZHANG Man-man, DUAN Hong-xiang, ZHOU Xiao-yang, ZOU Zhen-ya, MAO Jin-bao. Reducing Incidence of Intraoperative Hypothermia for Neurosurgery Patients Undergoing General Anesthesia with PDCA Circulation [J]. Journal of Nursing, 2021, 28(12): 10-15.
[7] LIAO Yuan-yuan, ZHOU Yi-feng, QIN Yue-lan, TAO Meiyi, LI Zhen. Best Evidence Summary for Protecting Prone Positioned Patients from Intraoperative Facial Pressure Injury [J]. Journal of Nursing, 2020, 27(15): 39-43.
[8] LU Tong, LIU Jia, RUI Lin. Effect of Modified Management of Surgical Position on Prevention of Medical Instrument-related Injury during Robot-assisted Surgery [J]. Journal of Nursing, 2020, 27(1): 70-72.
[9] HU Juan-juan, GAO Xing-lian, ZHAO Jing, DENG Jing. Effect of Workshop Teaching Mode in Training of Lateral Position Placement for New Nurses in Operating Room [J]. Journal of Nursing, 2020, 27(1): 9-11.
[10] QIAN Yu-xiu, LIAN Hui-zhao, SU Zhi-qiang, HOU Li-huan. Effect of Micro-class and Flipped Classroom in Occupational Safety Training for Nursing Students in Operating Room [J]. Journal of Nursing, 2020, 27(1): 5-8.
[11] CUI Xia. Standardization of Data Element of Nursing Information in Operating Room [J]. Journal of Nursing, 2018, 25(8): 17-20.
[12] LIU Li,HE Li-yun,PENG Yan,SHAO Li. Stratified Training for Operating Room Nurses Based on Magnetic Management and JCI Standard [J]. Journal of Nursing, 2018, 25(4): 19-22.
[13] HE Guo-long, ZHAO Ti-yu, ZHANG Shi-yi, GUO Yue, YU Yun-hong, KUANG Wan. Distribution of Population, Time and Space of Crush Injury of Hospitalized Surgical Patients [J]. Journal of Nursing, 2018, 25(23): 35-39.
[14] ZHANG Sheng-jie,WANG Jue,ZHANG Hai-yang,LIU Yang,ZHANG Li,GAO Ge,CAO Run-ze,XU Mei. Pressure from Robot-assisted Surgery for Operating Room Specialized Nurses [J]. , 2016, 23(18): 71-73.
[15] ZHENG Yue,WANG Liang-mei. Effect of Different Carbon Dioxide Pneumoperitoneum on Subphrenic Pain in Patients after Robot-assisted Radical Prostatectomy [J]. , 2016, 23(17): 72-74.
Viewed
Full text


Abstract

Cited
  Shared   
[1] HE Jia-qi, HAO Xi-jun, CHEN Chang-xiang. Social integration dilemma of elderly migrants and its influencing factors: a 854-case study[J]. Journal of Nursing, 2023, 30(9): 1 -6 .
[2] ZHOU Meng-juan, ZHU Xiao-li, ZHANG Tai, DUAN Jian-feng, LUO Yu-mei, MA Wei-li, LU Han, SHI Ting-ting, YANG Yi-lin, LI Ting, CHA Yao-lei, ZHAO Yuan. Construction and verification of predictive model for prolonged length of stay in patients with non-severe acute pancreatitis[J]. Journal of Nursing, 2023, 30(9): 7 -12 .
[3] LV Lu-yang, WANG Hua-fen, LU Fang-yan, WANG Yan, JIANG Shu-ying. Experience of readiness for discharge of family caregivers of children with liver transplantation: a qualitative study[J]. Journal of Nursing, 2023, 30(9): 13 -17 .
[4] . [J]. Journal of Nursing, 2023, 30(9): 18 -24 .
[5] . [J]. Journal of Nursing, 2023, 30(9): 30 -32 .
[6] . [J]. Journal of Nursing, 2023, 30(9): 33 -36 .
[7] YANG Yan, DONG Si-qin, ZHAO Bao-sheng, LI Zhen-xiang. Best evidence summary for exercise management for patients in early and middle stage of Parkinson's disease[J]. Journal of Nursing, 2023, 30(9): 37 -42 .
[8] . [J]. Journal of Nursing, 2023, 30(9): 43 -48 .
[9] . [J]. Journal of Nursing, 2023, 30(9): 49 -54 .
[10] . [J]. Journal of Nursing, 2023, 30(9): 55 -59 .