Abstract: Objective  To develop a management system for corneal laser refractive surgery to improve work efficiency, ensure medical quality and safety, reduce labor costs, enhance the satisfaction of medical staff, and deliver an optimal medical experience for patients. Design Before-and-after study design. Participants Using simple random sampling, 52 patients each were selected from the Refractive Surgery Center of the Eye Hospital of Wenzhou Medical University before and after the application of the system, serving as the control group and observation group respectively. In addition, 107 patients and 28 medical staff were randomly selected for satisfaction evaluation. Methods A project team was jointly established by the Refractive Surgery Center, Hospital Information Center and a Research and Development company to independently develop an information management system for corneal laser refractive surgery and apply it to clinical practice. The triage management module of the system recorded the duration of preoperative evaluation per patient and the duration of the same type of surgery per patient performed by the same surgeon. The perioperative management module of the system recorded the number of patients who arrived at the refractive surgery room on time throughout the process from hospital arrival and initiation of preoperative procedures to final entry into operation room. The triage management module of the system also recorded the completeness of key surgical data and the accuracy of medical data entry/import. These indicators were compared with those obtained under the manual management model before system implementation. Satisfaction surveys of patients and medical staff were conducted using self-designed questionnaires via the questionnaire retrieval module of the system. Main Outcome Measures  Indicators for evaluating work efficiency: duration of single preoperative evaluation, single operation duration, on-time arrival rate of surgical patients. Indicators for evaluating quality control and safety assurance: completeness rate of key surgical data, accuracy rate of medical data input or import. Indicator for evaluating cost control: number of full-time triage staff allocated. Indicators for evaluating doctor-patient experience: patient satisfaction and medical staff satisfaction. Results After application of the system, the mean duration of preoperative evaluation per patient was reduced from (176.87±18.74) min to (114.92±8.27) min (t=21.80, P＜0.001). The mean duration of the same type of surgery per patient by the same surgeon decreased from (8.37±0.65) min to (6.64±1.11) min (z=-7.21, P＜0.001). The on-time arrival rate of surgical patients increased from 50.00% to 80.77% (χ2=10.88, P＜0.001). The number of dedicated triage staff was reduced from 2 to 1. Additionally, patient satisfaction reached 96.26%, and medical staff satisfaction increased from 21.43% before implementation to 67.86% after implementation (χ2=12.21, P＜0.001). Conclusion The application of this system can effectively improve clinical work efficiency, ensures medical quality and safety, reduce labor costs, achieve a high level of patient satisfaction, and significantly enhance medical staff satisfaction, indicating its considerable value for clinical promotion and application.

Key words: Corneal laser refractive surgery, Information management system