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 |
| DOI: | 10.57237/j.nhres.2026.02.002 |
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Received: 28 July 2026
Accepted: 27 August 2026
Published Online: 11 September 2026
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