Establishment and management of day surgery center in general hospital_West China Medical Journal

Authors：

CHEN Yaling , MO Yang , TAN Liang , SHI Fenghua , LI Ping ,  LIU Weidong

Day Surgery Center, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P. R. China;

Corresponding author：

LIU Weidong, Email: weidong.liu@csu.edu.cn

Keywords：

Day surgery; Lean management; Medical quality; Medical safety; Medical efficiency

DOI：

10.7507/1002-0179.201901076

Video：

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Day surgery is one of the key tasks of the national medical reform. It is still in the stage of rapid developing in the country. It is the responsibility of the large general hospitals to explore the effective management mode of the day surgery center to meet the clinical quality and safety. During the establishment and management of day surgery center in general hospital, it is needed to build a strong specialized day surgery team through professional training, and to establish a coordination and incentive mechanism for the cooperation between the day ward and the specialized subjects by introducing lean thinking strategy. According to the characteristics of day surgery, the clinical pathway management and the whole course rehabilitation and the health education system of day surgery are established. The formulate norms for medical records of day surgery will be built. The monitoring system for the efficiency and safety of day surgery is established to improve the medical quality and safety of day surgery. As a result, the model of day surgery that conforms to the medical characteristics of China will be established.

Citation： CHEN Yaling, MO Yang, TAN Liang, SHI Fenghua, LI Ping, LIU Weidong. Establishment and management of day surgery center in general hospital. West China Medical Journal, 2019, 34(2): 127-132. doi: 10.7507/1002-0179.201901076 Copy

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2.	Rosero EB, Joshi GP. Hospital readmission after ambulatory laparoscopic cholecystectomy: incidence and predictors. J Surg Res, 2017, 219: 108-115.
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9.	林夏, 马洪升, 王琪, 等. 提升我国日间手术管理水平的思考与建议. 中国医院管理, 2017, 37(7): 41-42.
10.	刘蔚东, 李萍, 谭亮, 等. 日间手术的术式准入与挑战. 华西医学, 2015, 30(5): 820-823.
11.	毛林锋, 袁正泰, 刘序, 等. 甲状腺日间手术的临床初探. 中南大学学报(医学版), 2016, 41(3): 305-312.
12.	Kitchiner DJ, Bundred PE. Clinical pathways. Med J Aust, 1999, 170(2): 54-55.
13.	Cheah TS. The impact of clinical guidelines and clinical pathways on medical practice: effectiveness and medico-legal aspects. Ann Acad Med Singapore, 1998, 27(4): 533-539.
14.	林莉, 莫洋, 石峰华, 等. 日间手术出院后并发症分析. 中国现代医学杂志, 2016, 26(17): 90-93.
15.	Rajala M, Kaakinen P, Fordell M, et al. The quality of patient education in day surgery by adult patients. J Perianesth Nurs, 2018, 33(2): 177-187.
16.	莫洋, 瞿宏颖, 吴思容, 等. 全程管理模式在日间手术病房管理中的应用. 中华现代护理杂志, 2018, 24(15): 1748-1752.
17.	Aubrun F, Ecoffey C, Benhamou D, et al. Perioperative pain and post-operative nausea and vomiting (PONV) management after day-case surgery: the SFAR-OPERA National study. Anaesth Crit Care Pain Med, 2018. https://www.sciencedirect.com/science/article/pii/S2352556817303697.
18.	Mayo I, Lizarondo L, Stokan M. Experiences of adult patients in discharge and recovery from day surgery: a systematic review protocol of qualitative evidence. JBI Database System Rev Implement Rep, 2018. https://insights.ovid.com/crossref?an=01938924-900000000-99974.
19.	莫洋, 陈亚玲, 石峰华, 等. 开展品管圈活动降低日间手术爽约率的效果分析. 华西医学, 2017, 32(4): 488-492.
20.	彭静, 王曙红, 莫洋, 等. 输尿管软镜钬激光碎石取石术的日间手术与专科住院手术的卫生经济学评价. 华西医学, 2017, 32(11): 1675-1679.
21.	莫洋, 瞿宏颖, 吴思容, 等. 膝关节镜日间手术卫生经济学效果分析. 华西医学, 2016, 31(4): 642-644.

1. Fox JP, Vashi AA, Ross JS, et al. Hospital-based, acute care after ambulatory surgery center discharge. Surgery, 2014, 155(5): 743-753.
2. Rosero EB, Joshi GP. Hospital readmission after ambulatory laparoscopic cholecystectomy: incidence and predictors. J Surg Res, 2017, 219: 108-115.
3. 李志超, 马洪升, 杨建超, 等. 日间手术医疗质量与安全保障系统构建的对策研究. 华西医学, 2017, 32(4): 493-496.
4. 刘蔚东. 日间手术合理调配诊疗资源. 中国卫生人才, 2016(3): 27-30.
5. 马洪升. 日间手术的管理. 华西医学, 2017, 32(4): 481-482.
6. 国家卫生计生委, 国家中医药局. 关于印发进一步改善医疗服务行动计划的通知(国卫医发〔2015〕2号). (2015-01-12)[2019-01-01]. http://www.nhfpc.gov.cn/yzygj/s3593g/201501/5584853cfa254d1aa4e38de0700891fa.shtml.
7. 国务院办公厅. 国务院办公厅关于城市公立医院综合改革试点的指导意见(国办发〔2015〕38号). (2015-05-06)[2019-01-01]. http://www.gov.cn/zhengce/content/2015-05/17/content_9776.htm.
8. 税章林, 石应康, 马洪升, 等. 日间手术诊疗模式的实践与本土化的思考. 中国医院, 2012, 16(4): 38-40.
9. 林夏, 马洪升, 王琪, 等. 提升我国日间手术管理水平的思考与建议. 中国医院管理, 2017, 37(7): 41-42.
10. 刘蔚东, 李萍, 谭亮, 等. 日间手术的术式准入与挑战. 华西医学, 2015, 30(5): 820-823.
11. 毛林锋, 袁正泰, 刘序, 等. 甲状腺日间手术的临床初探. 中南大学学报(医学版), 2016, 41(3): 305-312.
12. Kitchiner DJ, Bundred PE. Clinical pathways. Med J Aust, 1999, 170(2): 54-55.
13. Cheah TS. The impact of clinical guidelines and clinical pathways on medical practice: effectiveness and medico-legal aspects. Ann Acad Med Singapore, 1998, 27(4): 533-539.
14. 林莉, 莫洋, 石峰华, 等. 日间手术出院后并发症分析. 中国现代医学杂志, 2016, 26(17): 90-93.
15. Rajala M, Kaakinen P, Fordell M, et al. The quality of patient education in day surgery by adult patients. J Perianesth Nurs, 2018, 33(2): 177-187.
16. 莫洋, 瞿宏颖, 吴思容, 等. 全程管理模式在日间手术病房管理中的应用. 中华现代护理杂志, 2018, 24(15): 1748-1752.
17. Aubrun F, Ecoffey C, Benhamou D, et al. Perioperative pain and post-operative nausea and vomiting (PONV) management after day-case surgery: the SFAR-OPERA National study. Anaesth Crit Care Pain Med, 2018. https://www.sciencedirect.com/science/article/pii/S2352556817303697.
18. Mayo I, Lizarondo L, Stokan M. Experiences of adult patients in discharge and recovery from day surgery: a systematic review protocol of qualitative evidence. JBI Database System Rev Implement Rep, 2018. https://insights.ovid.com/crossref?an=01938924-900000000-99974.
19. 莫洋, 陈亚玲, 石峰华, 等. 开展品管圈活动降低日间手术爽约率的效果分析. 华西医学, 2017, 32(4): 488-492.
20. 彭静, 王曙红, 莫洋, 等. 输尿管软镜钬激光碎石取石术的日间手术与专科住院手术的卫生经济学评价. 华西医学, 2017, 32(11): 1675-1679.
21. 莫洋, 瞿宏颖, 吴思容, 等. 膝关节镜日间手术卫生经济学效果分析. 华西医学, 2016, 31(4): 642-644.

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