Practice of applying quality control circle to improve the model of “hospital-community integrated service” of day surgery_West China Medical Journal

Authors：

JIA Hao , LUO Huajie , HU Xiaohong , WU Lingdi , ZHANG Jidong ,  WEN Daxiang

Medical Service Section I, Renji Hospital Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200127, P. R. China;

Corresponding?author：

WEN Daxiang, Email: wendaxiang@renji.com

Keywords：

Day surgery; Quality control circle; Hospital-community integrated service

DOI：

10.7507/1002-0179.201703086

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To improve the model of hospital-community integrated service of day surgery through quality control circle (QCC). Methods To optimize the community follow-up management of day surgery patients, we used QCC between March and August 2015 to find out the real reasons for community follow-up problems in day surgery patients and developed and implemented corresponding countermeasures. Comparison of health education, postoperative follow-up of dressing changes, and doctor-patient satisfaction assessment before and after the implementation of the model of hospital-community integrated service of day surgery (September 2014-February 2015vs. September 2015-February 2016) was then performed. Results After QCC implementation, the average number of dressing changes in the hospital was reduced from 4.58±0.95 to 1.18±0.39 (t=181.194,P<0.001). The average number of dressing changes in the community increased from 1.42±0.52 to 4.32±0.88 (t=–146.245,P<0.001). The average number of health consultation increased from 0.85±0.38 to 6.39±1.20 (t=–177.096,P<0.001). The satisfaction assessment after QCC implementation among doctors, nurses and patients also significantly increased (P<0.01). Conclusion Applying QCC can improve the model of hospital-community integrated service of day surgery and have remarkable effects on postoperative rehabilitation and patients’ satisfaction.

Citation： JIA Hao, LUO Huajie, HU Xiaohong, WU Lingdi, ZHANG Jidong, WEN Daxiang. Practice of applying quality control circle to improve the model of “hospital-community integrated service” of day surgery. West China Medical Journal, 2017, 32(4): 483-487. doi: 10.7507/1002-0179.201703086 Copy

1.	?劉庭芳. 我國醫院品管圈活動綜述. 中國醫院, 2015, 19(7): 1-3.
2.	白雪, 馬洪升, 羅利. 中外日間手術發展對比研究及展望. 中國醫院管理, 2014, 34(5): 35-37.
3.	郭晶, 劉素珍. 日間手術" 醫院-社區延伸康復模式”的研究現狀. 中國全科醫學, 2013, 16(8): 943-945.
4.	馬志強, 唐青, 朱永躍, 等. 我國社區衛生服務研究現狀——基于 CNKI 的文獻計量分析. 中國衛生事業管理, 2012, 29(3): 173-176.
5.	張繼東, 聞大翔, 范關榮. 日間手術對縮短平均住院日的影響. 中國醫院管理, 2009, 29(11): 27-28.
6.	International Association for Ambulatory Surgery (IAAS). Discharge criteria following day surgery. .
7.	孟麗莉, 張繼東, 朱華, 等. 運用 IT 設計醫院日間管理新模式的難點與對策. 中國數字醫學, 2014, 9(6): 87-89.
8.	丁粉華, 孟麗莉, 耿茜, 等. 日間手術中心信息系統的設計和應用. 中國數字醫學, 2015, 1(2): 51-53, 86.
9.	Mitchell M. Literature review: home recovery following day surgery. Ambul Surg, 2013, 19(1): 13-27.
10.	Santos R, Gomes A, Almeidaa M, et al. Impact of ambulatory surgery in the daily life of patients and their care-givers. Ambul Surg, 2012, 18(2): 39-41.
11.	Castoro C, Bertinato L, Baccaglini U,et al. Day surgery: making it happen. Copenhagen: WHO Regional Office for Europe, 2007.
12.	鄭佳, 伍冀湘, 王寧利, 等. 我院開展日間手術的效果評價與分析. 中國醫院管理, 2014, 34(8): 27-29.
13.	龔興榮, 駱華杰, 賈昊, 等. 日間手術集中式與分散式管理模式的研究及實踐. 中國醫院, 2015, 1(8): 37-38.
14.	NHS Wales Information Service. E-referrals in half of Wale’s GP surgeries, 2011 [2017-03-05]. .
15.	Lemos P, Pinto A, Morais G. Patient satisfaction following day surgery. J Clin Anesth, 2009, 21(3): 200-205.
16.	劉庭芳. 品管圈解惑. 中國醫院院長, 2013(7): 55.
17.	劉廷芳, 劉勇. 中國品管圈操作手冊. 北京: 北京人民出版社, 2011: 1-3.
18.	梁銘會, 劉庭芳, 董四平. 品管圈在醫療質量持續改進中的應用研究. 中國醫院管理, 2012, 32(2): 37-39.

1. ?劉庭芳. 我國醫院品管圈活動綜述. 中國醫院, 2015, 19(7): 1-3.
2. 白雪, 馬洪升, 羅利. 中外日間手術發展對比研究及展望. 中國醫院管理, 2014, 34(5): 35-37.
3. 郭晶, 劉素珍. 日間手術" 醫院-社區延伸康復模式”的研究現狀. 中國全科醫學, 2013, 16(8): 943-945.
4. 馬志強, 唐青, 朱永躍, 等. 我國社區衛生服務研究現狀——基于 CNKI 的文獻計量分析. 中國衛生事業管理, 2012, 29(3): 173-176.
5. 張繼東, 聞大翔, 范關榮. 日間手術對縮短平均住院日的影響. 中國醫院管理, 2009, 29(11): 27-28.
6. International Association for Ambulatory Surgery (IAAS). Discharge criteria following day surgery. .
7. 孟麗莉, 張繼東, 朱華, 等. 運用 IT 設計醫院日間管理新模式的難點與對策. 中國數字醫學, 2014, 9(6): 87-89.
8. 丁粉華, 孟麗莉, 耿茜, 等. 日間手術中心信息系統的設計和應用. 中國數字醫學, 2015, 1(2): 51-53, 86.
9. Mitchell M. Literature review: home recovery following day surgery. Ambul Surg, 2013, 19(1): 13-27.
10. Santos R, Gomes A, Almeidaa M, et al. Impact of ambulatory surgery in the daily life of patients and their care-givers. Ambul Surg, 2012, 18(2): 39-41.
11. Castoro C, Bertinato L, Baccaglini U,et al. Day surgery: making it happen. Copenhagen: WHO Regional Office for Europe, 2007.
12. 鄭佳, 伍冀湘, 王寧利, 等. 我院開展日間手術的效果評價與分析. 中國醫院管理, 2014, 34(8): 27-29.
13. 龔興榮, 駱華杰, 賈昊, 等. 日間手術集中式與分散式管理模式的研究及實踐. 中國醫院, 2015, 1(8): 37-38.
14. NHS Wales Information Service. E-referrals in half of Wale’s GP surgeries, 2011 [2017-03-05]. .
15. Lemos P, Pinto A, Morais G. Patient satisfaction following day surgery. J Clin Anesth, 2009, 21(3): 200-205.
16. 劉庭芳. 品管圈解惑. 中國醫院院長, 2013(7): 55.
17. 劉廷芳, 劉勇. 中國品管圈操作手冊. 北京: 北京人民出版社, 2011: 1-3.
18. 梁銘會, 劉庭芳, 董四平. 品管圈在醫療質量持續改進中的應用研究. 中國醫院管理, 2012, 32(2): 37-39.

Previous Article
日間手術的管理
Next Article
Effect of conducting quality control circle activities on the decrease of broken appointment rate of day surgery

West China Medical Journal

Practice of applying quality control circle to improve the model of “hospital-community integrated service” of day surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content