中文摘要：

目的研究首台手术准时率对医院和患者产生的影响。方法对我院每日首台手术实行流程管理和控制．并对各个环节的时间进行记录，确定评价指标，定期进行效果评估。结果对各项评估指标进行比较，首台手术时间（t=4．15，P〈0．05）、患者等待时间（t=18．66，P〈0．05）均明显缩短；医生准时率（X2=10．19，P〈0．05）、首台手术准时率（x2=143．88，P〈0．05）、医护人员满意度（x2=35．02，P〈0．05）、患者满意度（x2=10．42，P〈0．05）均明显提高：首台手术时间（r=0．72，P〈0．05）、患者等待时间（r=-0．75，P〈0．05）、患者满意度（r=0．86，P〈0．05）、医护满意度（r=0．82，P〈0．05）与首台手术准时率具有明显的相关性。结论每日首台手术准时率对提高医院医疗效率，增强医务人员之间的协调能力，提升患者满意度具有重要意义。

英文摘要：

Objective To study the influence of punctuality rate in first clinical operation to the hospital and patients. Methods The process management and controlling was used in the study, and time was noted in the different depart- ments. The assessment was conducted after the management. Results After the study, it was found that the time of punctuality rate in first clinical operation （t = 4.15 ,P 〈 0.05）,the waiting time of the patients （t = 18.66,P 〈 0.05）, the satisfaction of the doctors （xZ=-35.02,P 〈 0.05） and the satisfaction of the patients（x2=lO.42,P 〈 0.05） were increased significantly. The punctuality rate in first clinical operation was significantly correlated with the time of operation（r = 0.72,P 〈 0.05）, the time for patients waiting（r = -0.75 ,P 〈 0.05）, the satisfaction of the patients （r =0.86, P 〈 0.05 ） and the satisfaction of the doctors（r = 0.82,P 〈 0.05）. Conclusion The punctuality rate in first clinical operation is important to improve the hospital medical efficiency, enhance coordination ability and increase the patients satisfac- tions.