One-stop intravitreal injection model: expert consensus on establishment and management_Chinese Journal of Ocular Fundus Diseases

Authors：

 Li Xiaorong ¹ ,  Li Xiaoxin ^2,3 ,  Xu Xun ⁴

1. Tianjin Medical University Eye Hospital, Tianjin Medical University Eye Institute, School of Optometry & Ophthalmology, Tianjin 300384, China;
2. Xiamen Eye Center of Xiamen University, Xiamen 361003, China;
3. Department of Ophthalmology, Peking University People's Hospital, Beijing 100044, China;
4. Shanghai Jiao Tong University, National Clinical Research Center for Eye Diseases, Shanghai 200080, China;

Corresponding?author：

Li Xiaorong, Email: xiaorli@163.com; Li Xiaoxin, Email: dr_lixiaoxin@163.com; Xu Xun, Email: drxuxun@sjtu.edu.cn

Keywords：

Intravitreal injection; Standard operating procedure; Organization management; Physician's practice patterns; Quality control standard; Expert consensus

DOI：

10.3760/cma.j.cn511434-20230211-00041

Video：

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Abstract Full text Figures/Tables Video References Cited by

Intravitreal drug injection is a treatment for common chronic fundus diseases such as age-related macular degeneration and diabetic retinopathy. The “14th Five-Year” National Eye Health Plan (2021-2025) recommends focusing on fundus diseases and improve the management mode of patients with chronic eye diseases. Therefore, it is imperative to explore how to further optimize the service process of intravitreal injection under the premise of guaranteeing patients' medical safety, to promote medical service efficiency and standardized management level and improve the medical experience of patients. Based on the quality control standard of vitreous cavity injection for retinopathy in China, Chinese fundus disease and related field experts developed the present expert consensus on the establishment of a one-stop intravitreal injection model and the management of its organization after a serious, comprehensive, and complete discussion, focusing on a standardized operation process, quality control, and safety management, providing more references for establishing a suitable intravitreal injection management model for ophthalmology and promoting the development of diagnostic and treatment models for fundus disease in China.

Citation： Li Xiaorong, Li Xiaoxin, Xu Xun. One-stop intravitreal injection model: expert consensus on establishment and management. Chinese Journal of Ocular Fundus Diseases, 2023, 39(3): 187-193. doi: 10.3760/cma.j.cn511434-20230211-00041 Copy

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15.	王曉鳳, 竺慧, 王娟, 等. 醫護一體化管理在眼科日間病房流程優化中的應用[J]. 實用老年醫學, 2022, 36(4): 426-429. DOI: 10.3969/j.issn.1003-9198.2022.04.026.Wang XF, Zhu H, Wang J, et al. Application of collaborative doctor-nurse management of medical care in the optimization of ophthalmic day ward procedure[J]. Pract Geriatr, 2022, 36(4): 426-429. DOI: 10.3969/j.issn.1003-9198.2022.04.026.
16.	朱玉, 馮丹, 王博, 等. 日間手術服務質量安全管理標準研究[J]. 中華醫院管理雜志, 2018, 34(12): 989-994. DOI: 10.3760/cma.j.issn.1000-6672.2018.12.005.Zhu Y, Feng D, Wang B, et al. Research of quality and safety management standards on ambulatory surgery service[J]. Chin J Hosp Admin, 2018, 34(12): 989-994. DOI: 10.3760/cma.j.issn.1000-6672.2018.12.005.

1. 國家衛生健康委. “十四五”全國眼健康規劃(2021-2025年)[S]. 2022-01-04.National Health Commission. 14th Five-Year Plan for Eye Health (2021-2025)[S]. 2022-01-04.
2. 嵇武, 劉亞萍, 戴瑋. 我國日間手術開展現狀與前景展望[J]. 中國實用外科雜志, 2020, 40(2): 199-202. DOI: 10.19538/j.cjps.issn1005-2208.2020.02.14.Ji W, Liu YP, Dai W. Current developments and future perspectives of ambulatory surgery in China[J]. Chinese Journal of Practical Surgery, 2020, 40(2): 199-202. DOI: 10.19538/j.cjps.issn1005-2208.2020.02.14.
3. 付晶, 魏文斌, 馬張芳, 等. 我院眼科日間手術管理模式的發展及探索[J]. 中國醫院管理, 2018, 38(8): 51-52.Fu J, Wei WB, Ma ZF, et al. Exploration and development of ophthalmology day surgery management model in the hospital[J]. Chinese Hospital Management, 2018, 38(8): 51-52.
4. 中國醫藥教育協會眼科委員會, 解放軍醫學科學技術委員會眼科學分會, 中國老年醫學學會眼科分會. 中國眼科日間手術管理專家共識(2021年)[J]. 中華眼科雜志, 2021, 57(6): 406-414. DOI: 10.3760/cma.j.cn112142-20201117-00757.Ophthalmological Society of China Medicine Education Association, The Ophthalmology Association of PLA Medical Science Technical Committee, Ophthalmology Branch of the Chinese Academy of Geriatrics. Chinese expert consensus on management of ophthalmic day surgery (2021)[J]. Chin J Ophthalmol, 2021, 57(6): 406-414. DOI: 10.3760/cma.j.cn112142-20201117-00757.
5. 解放軍醫學科學技術委員會眼科學分會. 我國眼科日間手術流程專家共識(2018年)[J]. 中華眼科雜志, 2018, 54(12): 883-886. DOI: 10.3760/cma.j.issn.0412-4081.2018.12.002.Ophthalmology Branch of PLA Medical Science and Technology Commission. Chinese expert consensus on ophthalmic day surgery procedure (2018)[J]. Chin J Ophthalmol, 2018, 54(12): 883-886. DOI: 10.3760/cma.j.issn.0412-4081.2018.12.002.
6. 中華醫學會眼科學分會眼底病學組. 我國視網膜病玻璃體腔注藥術質量控制標準[J]. 中華眼科雜志, 2015, 51(12): 892-895. DOI: 10.3760/cma.j.issn.0412-4081.2015.12.005.Fundus Disease Group, Ophthalmology Society of Chinese Medical Association. Quality control standard of vitreous injection for retinopathy in China[J]. Chin J Ophthalmol, 2015, 51(12): 892-895. DOI: 10.3760/cma.j.issn.0412-4081.2015.12.005.
7. 羅永, 羅利, 白會芳, 等. 日間手術兩種管理模式的評價[J]. 中國衛生事業管理, 2016, 33(9): 667-670, 690.Luo Y, Luo L, Bai HF, et al. Evaluation of two kinds of day surgery management pattern[J]. Chinese Health Service Management, 2016, 33(9): 667-670, 690.
8. 魏文斌. 眼科日間手術中心日常工作操作守則及工作流程[M]//魏文斌. 同仁眼科日間手術手冊. 北京: 人民衛生出版社, 2018: 13-19.Wei WB. Practice and procedures for daily work of ophthalmology day surgery center[M]//Wei WB. Tongren handbook of ophthalmic day surgery. Beijing: People's Medical Publishing House, 2018: 13-19.
9. 魏文斌. 眼科日間病歷記錄[M]//魏文斌. 同仁眼科日間手術手冊. 北京: 人民衛生出版社, 2018: 85-89.Wei WB. Ophthalmic daytime medical records[M]//Wei WB. Tongren handbook of ophthalmic day surgery. Beijing: People's Medical Publishing House, 2018: 85-89.
10. 楊拔賢. 麻醉[M]//吳在德, 吳肇漢. 外科學(第七版). 北京: 人民衛生出版社, 2008: 65-66.Yang BX. Anesthesia [M]//Wu ZD, Wu ZH. Surgery (seventh edition). Beijing: People's Medical Publishing House, 2008: 65-66.
11. Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: guidelines from the Association of Anaesthetists and the British Association of Day Surgery[J]. Anaesthesia, 2019, 74(6): 778-792. DOI: 10.1111/anae.14639.
12. 張琰, 尉俊錚, 王欣然. 信息化在日間病房管理中的應用[J]. 中國數字醫學, 2016, 11(8): 113-115. DOI: 10.3969/j.issn.1673-7571.2016.08.037.Zhang Y, Wei JZ, Wang XR. The application of informatization in the day care ward management[J]. China Digital Medicine, 2016, 11(8): 113-115. DOI: 10.3969/j.issn.1673-7571.2016.08.037.
13. 馬洪升. 日間手術質量安全管理[M]//馬洪升. 日間手術. 北京: 人民衛生出版社, 2016: 162-174.Ma HS. Quality and safety management of day surgery[M]//Ma HS. Day surgery. Beijing: People's Medical Publishing House, 2016: 162-174.
14. 胡曉, 劉倩, 黃曉萱, 等. 日間手術病房的精益管理策略[J]. 華西醫學, 2019, 34(2): 159-163. DOI: 10.7507/1002-0179.201901030.Hu X, Liu Q, Huang XX, et al. Lean management strategy of day surgery ward[J]. West China Medical Journal, 2019, 34(2): 159-163. DOI: 10.7507/1002-0179.201901030.
15. 王曉鳳, 竺慧, 王娟, 等. 醫護一體化管理在眼科日間病房流程優化中的應用[J]. 實用老年醫學, 2022, 36(4): 426-429. DOI: 10.3969/j.issn.1003-9198.2022.04.026.Wang XF, Zhu H, Wang J, et al. Application of collaborative doctor-nurse management of medical care in the optimization of ophthalmic day ward procedure[J]. Pract Geriatr, 2022, 36(4): 426-429. DOI: 10.3969/j.issn.1003-9198.2022.04.026.
16. 朱玉, 馮丹, 王博, 等. 日間手術服務質量安全管理標準研究[J]. 中華醫院管理雜志, 2018, 34(12): 989-994. DOI: 10.3760/cma.j.issn.1000-6672.2018.12.005.Zhu Y, Feng D, Wang B, et al. Research of quality and safety management standards on ambulatory surgery service[J]. Chin J Hosp Admin, 2018, 34(12): 989-994. DOI: 10.3760/cma.j.issn.1000-6672.2018.12.005.

Chinese Journal of Ocular Fundus Diseases

One-stop intravitreal injection model: expert consensus on establishment and management

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