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目的:探讨调整择期手术应答时间及相应综合改革措施对手术室运行效果的影响。方法:于2019年7—12月对北京大学第三医院择期手术应答时间进行调整，建立多部门协作系统，优化手术室管理制度及奖惩机制。回顾分析2018、2019年相应手术室医疗指标，比较改革前后手术室工作量、手术室护理人员加班情况、补时补休等指标的变化。结果:2019年1—6月与2018年1—6月相比，手术量增加（n t=-7.249，n P<0.001），手术室护理人员加班时数增加（n t=-5.364，n P=0.003），补休时数比较差异无统计学意义（n t=0.433，n P=0.683）。2019年7—12月实施改革后，与2018年7—12月相比，手术量增加（n t=-7.112，n P<0.001），加班时数比较差异无统计学意义（n t=0.433，n P=0.683），补休时数增加（n t=-8.412，n P<0.001）。n 结论:调整择期手术应答时间及实施多部门协作支持，可以优化手术室管理制度及奖惩机制，在保持手术室运行安全性的同时提高了运行效率，保证了手术室护理人员的休息时间。“,”Objective:To explore the effect of adjusting elective operation response time and corresponding comprehensive reform measures on the operating effect of Operating Room.Methods:From July to December 2019, the response time of elective surgery at Peking University Third Hospital was adjusted, a multi-departmental collaboration system was established, and the Operating Room management system and reward and punishment mechanism were optimized. The corresponding Operating Room medical indexes in 2018 and 2019 were reviewed and analyzed. Changes of Operating Room workload, overtime work of nursing staff in operating room, supplementary time and relaxation allowance and other indicators were compared before and after the reform.Results:Compared with January to June 2018, the number of surgeries from January to June 2019 increased (n t=-7.249, n P<0.001) , and the number of overtime hours worked by nursing staff in the Operating Room increased (n t=-5.364, n P=0.003) . There was no statistically significant difference in the number of relaxation allowance hours (n t=0.433, n P=0.683) . After the implementation of the reform, compared with July to December 2018, the number of surgeries increased from July to December 2019 (n t=-7.112, n P<0.001) , and the difference in overtime hours was not statistically significant (n t=0.433, n P=0.683) , the number of relaxation allowance hours increased (n t=-8.412, n P<0.001) .n Conclusions:The adjustment of the response time for elective surgery and implementation of multi-department cooperation and support can optimize the Operating Room management system and reward and punishment mechanism, improve the operating efficiency while maintaining the operating room operation safety and ensure the rest time of the Operating Room nurses.