Study on quality control index system of single disease in day surgery in municipal hospitals_West China Medical Journal

Authors：

NI Wenjun ¹ , ZHAO Rong ² , YANG Jiahong ² , TANG Lujia ³ , WANG Shuyun ⁴ , YU Songxuan ² , SHI Fuxian ⁵ ,  HOU Lengchen ²

1. Office of Academic Research, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, P. R. China;
2. Shanghai Shenkang Hospital Development Center, Shanghai 200041, P. R. China;
3. Emergency Department, Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200094, P. R. China;
4. Galactophore Department, Shanghai First Maternity and Infant Hospital, Shanghai 201204, P. R. China;
5. Medical Record Department, Shanghai Tenth People’s Hospital, Shanghai 200072, P. R. China;

Corresponding?author：

HOU Lengchen, Email: zhlcg1380@163.com

Keywords：

Day surgery; Quality control; Index design

DOI：

10.7507/1002-0179.202012308

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the standardized index system of quality control for single disease of day surgery in Shanghai municipal hospitals.Methods From April to November 2020, through literature research and comprehensive analysis of research results, the framework of quality control index system for single disease of day surgery focusing on obstructive sleep apnea hypopnea syndrome surgery and laparoscopic cholecystectomy was constructed; Delphi method was used to evaluate the quality of day surgery in terms of results, objectivity, statistics, sensitivity, accessibility, quantifiability, importance, and guidance. Finally, the final indicators were screened out.Results After three rounds of Delphi investigation, 18 experts finally formed 14 general indexes and 14 personalized indexes (6 for obstructive sleep apnea hypopnea syndrome and 8 for laparoscopic cholecystectomy) in the single disease of day surgery quality control index system.Conclusions The general indexes and personalized indexes quantifying the quality control index for single disease of day surgery are conducive to the standardization and standardized management of day surgery, and can provide a reference for improving the medical quality and safety, and sustainable development of day surgery.

Citation： NI Wenjun, ZHAO Rong, YANG Jiahong, TANG Lujia, WANG Shuyun, YU Songxuan, SHI Fuxian, HOU Lengchen. Study on quality control index system of single disease in day surgery in municipal hospitals. West China Medical Journal, 2021, 36(2): 215-219. doi: 10.7507/1002-0179.202012308 Copy

1.	Jarrett PEM. Day care surgery. Eur J Anaesth, 2010, 18(23): 32-35.
2.	Philip BK. Day care surgery: the United States model of health care. Ambul Surg, 2012, 17(4): 81-82.
3.	Ng L, Mercer-Jones M. Day case surgery guidelines. Surgery (Oxford), 2014, 32(2): 73-78.
4.	朱道珺, 張世輝, 戴燕, 等. 四川大學華西醫院日間手術室護理管理規范. 華西醫學, 2019, 34(2): 140-144.
5.	Talalwah NA, McIltrot KH. Cancellation of surgeries: integrative review. J Perianesth Nurs, 2019, 34(1): 86-96.
6.	Rago R, Franceschini F. Short hospitalization system: a new way of interpreting day surgery care. Minerva Anestesiol, 2016, 82(1): 103-111.
7.	Jagodzinski NA, Ibish S, Furniss D. Surgical site infection after hand surgery outside the operating theatre: a systematic review. J Hand Surg Eur Vol, 2017, 42(3): 289-294.
8.	黃丞, 張文信. 上海市分級診療成效、難點和問題分析. 中國醫院, 2018, 22(11): 14-18.
9.	楊麗, 趙蓉. 上海市日間手術管理的標準化實踐及思考. 華西醫學, 2019, 34(2): 179-183.
10.	馮慶釗, 張凱. 腹股溝疝無張力修補日間手術開展初期與住院手術的比較與總結. 齊齊哈爾醫學院學報, 2018, 39(16): 1905-1907.
11.	趙蓉, 楊麗, 張薇薇, 等. 上海市級醫院日間手術發展現狀評估. 中國醫院, 2015, 19(4): 7-9.
12.	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, 10(2): 51-53, 86.
13.	高解春, 楊佳泓, 劉軍, 等. 日間手術的內涵及適宜范圍研究. 中國醫院, 2015, 19(4): 3-6.
14.	母曉莉, 徐俊, 陳鶴群, 等. 基于醫聯平臺的服務總線架構設計與實現. 中國衛生信息管理雜志, 2015, 12(3): 284-289.
15.	戴燕, 李繼平, 劉素珍, 等. 華西醫院日間手術服務模式的構建. 四川醫學, 2013, 34(7): 1124-1126.
16.	冷遠洪, 胥蘭婷, 陳靜, 等. 日間手術患者出院準備度與出院指導質量相關性分析. 醫學信息, 2020, 33(21): 133-136.
17.	羅綽, 黃明君, 蔣靜文, 等. 某三甲醫院2011年-2018年日間手術中心病例特點分析. 中國病案, 2020, 21(10): 70-74.
18.	陳麗紅. 上海市19所醫院病種績效分析研究. 上海: 中國人民解放軍海軍軍醫大學, 2019.
19.	國家衛生健康委辦公廳. 國家衛生健康委辦公廳關于印發第一批日間手術病種手術操作規范(試行)的通知. (2020-01-02)[2020-12-20]. http://www.nhc.gov.cn/yzygj/s7653/202001/1a840afdc4d14fea8ffcc4ed37910728.shtml.
20.	國家衛生健康委辦公廳. 國家衛生健康委辦公廳關于印發第二批日間手術(操作)試點病種及術式推薦目錄的通知. (2019-12-18)[2020-12-20]. http://www.gov.cn/xinwen/2019-12/29/content_5464916.htm.
21.	方鵬賽, 焦雅輝, 吳少瑋, 等. 醫院綜合評價體系的理論依據及結果指標篩選. 中華醫院管理雜志, 2010, 26(12): 900-902.
22.	俞德梁, 劉小南, 寧鵬濤. 首批日間手術適宜術式的探討. 廣西醫學, 2016, 38(10): 1478-1481.
23.	Vaughan J, Gurusamy KS, Davidson BR. Day-surgery versus overnight stay surgery for laparoscopic cholecystectomy. Cochrane Database Syst Rev, 2013, 31(7): CD006798.
24.	Lledó JB, Castro PG, Gavara IG. Twenty-five years of ambulatory laparoscopic cholecystectomy. Cir Esp, 2016, 94(8): 429-441.

1. Jarrett PEM. Day care surgery. Eur J Anaesth, 2010, 18(23): 32-35.
2. Philip BK. Day care surgery: the United States model of health care. Ambul Surg, 2012, 17(4): 81-82.
3. Ng L, Mercer-Jones M. Day case surgery guidelines. Surgery (Oxford), 2014, 32(2): 73-78.
4. 朱道珺, 張世輝, 戴燕, 等. 四川大學華西醫院日間手術室護理管理規范. 華西醫學, 2019, 34(2): 140-144.
5. Talalwah NA, McIltrot KH. Cancellation of surgeries: integrative review. J Perianesth Nurs, 2019, 34(1): 86-96.
6. Rago R, Franceschini F. Short hospitalization system: a new way of interpreting day surgery care. Minerva Anestesiol, 2016, 82(1): 103-111.
7. Jagodzinski NA, Ibish S, Furniss D. Surgical site infection after hand surgery outside the operating theatre: a systematic review. J Hand Surg Eur Vol, 2017, 42(3): 289-294.
8. 黃丞, 張文信. 上海市分級診療成效、難點和問題分析. 中國醫院, 2018, 22(11): 14-18.
9. 楊麗, 趙蓉. 上海市日間手術管理的標準化實踐及思考. 華西醫學, 2019, 34(2): 179-183.
10. 馮慶釗, 張凱. 腹股溝疝無張力修補日間手術開展初期與住院手術的比較與總結. 齊齊哈爾醫學院學報, 2018, 39(16): 1905-1907.
11. 趙蓉, 楊麗, 張薇薇, 等. 上海市級醫院日間手術發展現狀評估. 中國醫院, 2015, 19(4): 7-9.
12. 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, 10(2): 51-53, 86.
13. 高解春, 楊佳泓, 劉軍, 等. 日間手術的內涵及適宜范圍研究. 中國醫院, 2015, 19(4): 3-6.
14. 母曉莉, 徐俊, 陳鶴群, 等. 基于醫聯平臺的服務總線架構設計與實現. 中國衛生信息管理雜志, 2015, 12(3): 284-289.
15. 戴燕, 李繼平, 劉素珍, 等. 華西醫院日間手術服務模式的構建. 四川醫學, 2013, 34(7): 1124-1126.
16. 冷遠洪, 胥蘭婷, 陳靜, 等. 日間手術患者出院準備度與出院指導質量相關性分析. 醫學信息, 2020, 33(21): 133-136.
17. 羅綽, 黃明君, 蔣靜文, 等. 某三甲醫院2011年-2018年日間手術中心病例特點分析. 中國病案, 2020, 21(10): 70-74.
18. 陳麗紅. 上海市19所醫院病種績效分析研究. 上海: 中國人民解放軍海軍軍醫大學, 2019.
19. 國家衛生健康委辦公廳. 國家衛生健康委辦公廳關于印發第一批日間手術病種手術操作規范(試行)的通知. (2020-01-02)[2020-12-20]. http://www.nhc.gov.cn/yzygj/s7653/202001/1a840afdc4d14fea8ffcc4ed37910728.shtml.
20. 國家衛生健康委辦公廳. 國家衛生健康委辦公廳關于印發第二批日間手術(操作)試點病種及術式推薦目錄的通知. (2019-12-18)[2020-12-20]. http://www.gov.cn/xinwen/2019-12/29/content_5464916.htm.
21. 方鵬賽, 焦雅輝, 吳少瑋, 等. 醫院綜合評價體系的理論依據及結果指標篩選. 中華醫院管理雜志, 2010, 26(12): 900-902.
22. 俞德梁, 劉小南, 寧鵬濤. 首批日間手術適宜術式的探討. 廣西醫學, 2016, 38(10): 1478-1481.
23. Vaughan J, Gurusamy KS, Davidson BR. Day-surgery versus overnight stay surgery for laparoscopic cholecystectomy. Cochrane Database Syst Rev, 2013, 31(7): CD006798.
24. Lledó JB, Castro PG, Gavara IG. Twenty-five years of ambulatory laparoscopic cholecystectomy. Cir Esp, 2016, 94(8): 429-441.

Previous Article
Analysis of current situation of day surgery patients’ withdrawal from hospitalization
Next Article
Establishment of a quality-sensitive indicator system for day surgery nursing

West China Medical Journal

Study on quality control index system of single disease in day surgery in municipal hospitals

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content