应用平衡计分卡管理模式制定KPI在麻醉手术室绩效考核中的效果评价
上海市同仁医院愚园路院区, 上海 200051
| 摘 要： | 目的 构建适配麻醉护士、手术室护士双岗位的围手术期一体化绩效考核体系，探究平衡计分卡（BSC）联合关键绩效指标（KPI）用于麻醉手术室护理绩效管理的实践成效。方法 选取本院麻醉手术室21名护理人员作为研究对象，基于BSC四维模型结合科室专科特点重构评价维度，采用鱼骨图梳理两类岗位护理风险，通过两轮德尔菲专家咨询、层次分析法筛选指标并完成权重赋值，制定差异化绩效考核细则；连续实施12个月后发放满意度问卷，采用配对Fisher 确切概率法对比方案落地前后护士满意度差异。结果 绩效体系实施后，护理人员对考核指标、考核项目、奖惩激励三项维度满意度均显著高于实施前，组间差异有高度统计学意义（P<0.01）。该体系区分两类岗位工作负荷与风险等级，对PACU复苏、困难气道配合、急诊及长时间大手术等高风险工作设置专项加分，可量化体现隐性护理工作价值。结论 改良BSC-KPI考核体系覆盖围手术期全流程，兼顾患者服务、护理质量、科室运营与人才培养，分配机制客观公平，可提升护理人员工作积极性，持续优化围手术期护理质量，适合配备双岗位护理人员的各级医院麻醉手术室推广。 |
| 关 键 词： | 平衡计分卡; KPI; 麻醉手术室; 护理绩效考核; 围手术期护理 |
| DOI： | 10.57237/j.nhres.2026.02.002 |
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收稿日期: 2026-07-28
接受日期: 2026-08-27
在线出版日期: 2026-09-11
Application of Balanced Scorecard Management Model to Formulate KPI and Its Effect Evaluation on Performance Appraisal in Anesthesia Operating Room
Department of Anesthesia and Operating Room, Shanghai Tongren Hospital (Yuyuan Road Campus), Shanghai 200051, China
| Abstract: | Objective To construct a perioperative integrated performance appraisal system suitable for dual‑post of anesthesia nurses and operating room nurses, and explore the practical effect of Balanced Scorecard (BSC) combined with Key Performance Indicator (KPI) in nursing performance management of anesthesia operating room. Methods A total of 21 nursing staff in the anesthesia operating room of our hospital were selected as research subjects. The evaluation dimensions were reconstructed based on the four‑dimensional BSC model combined with the specialty characteristics of the department. Fishbone diagram was used to sort out nursing risks of the two types of posts. Two rounds of Delphi expert consultation and analytic hierarchy process were adopted to screen indicators and assign weights, and differentiated performance appraisal rules were formulated. Satisfaction questionnaires were distributed after 12-month continuous implementation, and paired Fisher exact test was used to compare nurses’ satisfaction before and after implementation. Results After the implementation of the performance system, nurses’ satisfaction with assessment indicators, assessment items, reward‑punishment incentive was significantly higher than that before implementation, with highly statistically significant differences (P<0.01). The system distinguished workload and risk level of two posts, set special bonus for high‑risk work including PACU resuscitation, difficult airway cooperation, emergency and long‑time major surgery, which could quantify the value of recessive nursing work. Conclusion The improved BSC‑KPI appraisal system covers the whole perioperative process, takes into account patient service, nursing quality, department operation and talent training. With objective and fair distribution mechanism, it can improve nursing staff’s work enthusiasm and continuously optimize perioperative nursing quality, which is worthy of promotion in anesthesia operating rooms of hospitals with dual-post nursing staff. |
| Keywords: | Balanced Scorecard; KPI; Anesthesia Operating Room; Nursing Performance Appraisal; Perioperative Nursing |
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