• Medical Service Section I, Renji Hospital Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200127, P. R. China;
WEN Daxiang, Email: wendaxiang@renji.com
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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

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