Effect of conducting quality control circle activities on the decrease of broken appointment rate of day surgery_West China Medical Journal

Authors：

MO Yang ¹ , CHEN Yaling ¹ , SHI Fenghua ¹ , HUANG Xiaoxuan ¹ , QU Hongying ¹ , LIU Weidong ¹ ,  GAO Hongmei ²

1. Department of Day Surgery Center, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P. R. China;
2. Department of Nursing, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P. R. China;

Corresponding author：

GAO Hongmei, Email: gaohongmei50@163.com

Keywords：

Quality control circle; Day surgery; Broken appointment rate

DOI：

10.7507/1002-0179.201703091

Video：

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Objective To decrease broken appointment rate of day surgery by conducting quality control circle (QCC) activities, in order to make full use of quality resources. Methods All the patients who made an appointment in the day surgery units in Xiangya Hospital of Central South University between July and September 2015 were chosen as the research subjects. By counting the number of patients who broke the appointment, we analyzed the broken appointment rate. In October 2015, we established a QCC management team to deal with the phenomenon of high broken appointment rate, and set up a theme of " decreasing broken appointment rate of day surgery”. Related regulations were implemented and procedures were optimized. In December 2015, we compared the broken appointment rates before and after the implementation of QCC activities among all 1 879 patients. Results After the implementation of QCC activities, the day surgery broken appointment rate decreased from 17.16% to 6.06%, and the target achievement rate was 122.65%. Conclusion QCC activities can effectively reduce day surgery broken appointment rate.

Citation： MO Yang, CHEN Yaling, SHI Fenghua, HUANG Xiaoxuan, QU Hongying, LIU Weidong, GAO Hongmei. Effect of conducting quality control circle activities on the decrease of broken appointment rate of day surgery. West China Medical Journal, 2017, 32(4): 488-492. doi: 10.7507/1002-0179.201703091 Copy

1.	冯灵, 周曾蓉, 汪锐, 等. 品质管理圈在降低住院患者留置针不良事件中的应用. 华西医学, 2014, 29(12): 2329-2332.
2.	中国日间手术联盟. 日间手术手册. 北京: 人民卫生出版社, 2015.
3.	Kaddoum R, Fadlallah R, Hitti E, et al. Causes of cancellations on the day of surgery at a tertiary teaching hospital. BMC Health Serv Res, 2016, 16(1): 1-8.
4.	Lee CS, Mccormick PA. Telephone reminders to reduce non-attendance rate for endoscopy. J R Soc Med, 2003, 96(11): 547-548.
5.	殷宇, 戴燕. 日间手术病房预约处爽约原因分析及对策. 华西医学, 2016, 31(4): 624-625.
6.	袁华娣, 洪萍花, 蒋立群, 等. 择期日间手术当日取消手术的原因分析及对策. 护理与康复, 2015, 14(10): 965-967.
7.	周藜藜, 王维, 赵瑜, 等. 品质管理圈在提高胃肠减压有效率中的应用. 华西医学, 2016, 30(4): 754-757.
8.	Boothe P, Finegan BA. Changing the admission process for elective surgery: an economic analysis. Can J Anaesth, 1995, 42(5 Pt 1): 391-394.
9.	Mitchell M. Influence of gender and anaesthesia type on day surgery anxiety. J Adv Nurs, 2012, 68(5): 1014-1025.
10.	张敏, 王丽娜. 针对肛肠手术患者的焦虑情绪采用心理干预护理的效果及满意度调查. 世界华人消化杂志, 2015, 23(3): 521-524.
11.	Mitchell M. Patient anxietyand conscious surgery. ISSN, 2009, 19(6): 168-173.
12.	Wilson FL, Mayeta-Peart A, Parada-Webster L, et al. Using the teach-back method to increase maternal immunization literacy among low-income pregnant women in Jamaica: a pilot study. J Pediatr Nurs, 2012, 27(5): 451-459.
13.	倪栋梅. 品管圈. 活动在健康教育质量改进中的应用效果探讨.护理实践与研究, 2012, 9(1): 97-98.
14.	毛向阳. 公立医院实行预约诊疗服务的路径探索. 齐齐哈尔医学院学报, 2011, 32(9): 1447-1449.
15.	徐芳, 刘力戈, 李伟荣. 减少择期手术临时取消病例的做法与体会. 中国医院管理, 2015, 35(2): 26-28.
16.	宋尧. 手术前焦虑与心理护理. 河南外科学杂志, 2011, 17(1): 110-112.
17.	Haufler K, Harrington M. Using nurse-to-patient telephone calls to reduce day-of-surgery cancellations. AORN J, 2011, 94(1): 19-26.
18.	张幸国, 王临润, 刘勇. 医院品管圈辅导手册. 北京: 人民卫生出版社, 2012: 109-112.
19.	梁铭会, 刘庭芳, 董四平. 品管圈在医疗质量持续改进中的应用研究. 中国医院管理, 2012, 32(2): 37-39.
20.	刘小南, 俞德梁, 赵青川, 等. 关于日间手术模式的研究及应用进展. 医学与哲学, 2014, 35(4): 56-59.

1. 冯灵, 周曾蓉, 汪锐, 等. 品质管理圈在降低住院患者留置针不良事件中的应用. 华西医学, 2014, 29(12): 2329-2332.
2. 中国日间手术联盟. 日间手术手册. 北京: 人民卫生出版社, 2015.
3. Kaddoum R, Fadlallah R, Hitti E, et al. Causes of cancellations on the day of surgery at a tertiary teaching hospital. BMC Health Serv Res, 2016, 16(1): 1-8.
4. Lee CS, Mccormick PA. Telephone reminders to reduce non-attendance rate for endoscopy. J R Soc Med, 2003, 96(11): 547-548.
5. 殷宇, 戴燕. 日间手术病房预约处爽约原因分析及对策. 华西医学, 2016, 31(4): 624-625.
6. 袁华娣, 洪萍花, 蒋立群, 等. 择期日间手术当日取消手术的原因分析及对策. 护理与康复, 2015, 14(10): 965-967.
7. 周藜藜, 王维, 赵瑜, 等. 品质管理圈在提高胃肠减压有效率中的应用. 华西医学, 2016, 30(4): 754-757.
8. Boothe P, Finegan BA. Changing the admission process for elective surgery: an economic analysis. Can J Anaesth, 1995, 42(5 Pt 1): 391-394.
9. Mitchell M. Influence of gender and anaesthesia type on day surgery anxiety. J Adv Nurs, 2012, 68(5): 1014-1025.
10. 张敏, 王丽娜. 针对肛肠手术患者的焦虑情绪采用心理干预护理的效果及满意度调查. 世界华人消化杂志, 2015, 23(3): 521-524.
11. Mitchell M. Patient anxietyand conscious surgery. ISSN, 2009, 19(6): 168-173.
12. Wilson FL, Mayeta-Peart A, Parada-Webster L, et al. Using the teach-back method to increase maternal immunization literacy among low-income pregnant women in Jamaica: a pilot study. J Pediatr Nurs, 2012, 27(5): 451-459.
13. 倪栋梅. 品管圈. 活动在健康教育质量改进中的应用效果探讨.护理实践与研究, 2012, 9(1): 97-98.
14. 毛向阳. 公立医院实行预约诊疗服务的路径探索. 齐齐哈尔医学院学报, 2011, 32(9): 1447-1449.
15. 徐芳, 刘力戈, 李伟荣. 减少择期手术临时取消病例的做法与体会. 中国医院管理, 2015, 35(2): 26-28.
16. 宋尧. 手术前焦虑与心理护理. 河南外科学杂志, 2011, 17(1): 110-112.
17. Haufler K, Harrington M. Using nurse-to-patient telephone calls to reduce day-of-surgery cancellations. AORN J, 2011, 94(1): 19-26.
18. 张幸国, 王临润, 刘勇. 医院品管圈辅导手册. 北京: 人民卫生出版社, 2012: 109-112.
19. 梁铭会, 刘庭芳, 董四平. 品管圈在医疗质量持续改进中的应用研究. 中国医院管理, 2012, 32(2): 37-39.
20. 刘小南, 俞德梁, 赵青川, 等. 关于日间手术模式的研究及应用进展. 医学与哲学, 2014, 35(4): 56-59.

West China Medical Journal

Effect of conducting quality control circle activities on the decrease of broken appointment rate of day surgery

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