Exploration and practice of performance management system for day surgery_West China Medical Journal

Authors：

SONG Wenjie ¹ , WEN Limin ¹ , WANG Jun ¹ ,  MA Hongsheng ²

1. Operation Management Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

MA Hongsheng, Email: mahongsheng63@163.com

Keywords：

Day surgery; Performance management; Operation management

DOI：

10.7507/1002-0179.201911141

Video：

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Abstract Full text Figures/Tables Video References Cited by

As an advanced mode of diagnosis and treatment, day surgery is widely carried out in foreign countries. Although it started late in China, it has been gradually valued and vigorously promoted in medical and health field in recent years. The effective implementation of day surgery in hospital cannot be separated from the strong support of performance management system. Through introducing the performance management experiences in promoting day surgery mode in West China Hospital of Sichuan University, this article discusses how to construct an effective whole-course performance management system for day surgery combined with operation management through three mechanisms: the management committee mechanism, the operation management mechanism and the performance assessment mechanism, which are based on the structure-process-outcome dimensions of quality management system, at the three levels of hospital, department and position, so as to provide a reference for developing day surgery in China.

Citation： SONG Wenjie, WEN Limin, WANG Jun, MA Hongsheng. Exploration and practice of performance management system for day surgery. West China Medical Journal, 2020, 35(2): 141-145. doi: 10.7507/1002-0179.201911141 Copy

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2.	刘洋, 马洪升, 叶辉. 日间腹腔镜胆囊切除术推广面临的问题与对策. 中华医院管理杂志, 2017, 33(5): 354-356.
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9.	刘洋, 李志超, 马洪升. 四川大学华西医院日间手术患者延迟出院原因分析. 中国循证医学杂志, 2016, 16(4): 383-386.
10.	刘洋, 马洪升, 李志超, 等. 5520 例日间手术的安全和质量评价. 中国普外基础与临床杂志, 2015, 22(12): 1477-1481.
11.	张磊, 王小成, 赵晓燕, 等. 四川大学华西医院日间手术临床路径管理基本规范. 华西医学, 2019, 34(2): 150-154.
12.	International Association for Ambulatory Surgery. Ambulatory surgery handbook: 2^nd edition, 2014. (2015-02-02)[2020-01-15]. https://www.iaas-med.com/files/2013/Day_Surgery_Manual.pdf.
13.	苑伟, 雷甜甜, 文茂瑶, 等. 四川大学华西医院日间手术患者管理模式初探. 华西医学, 2019, 34(2): 188-192.
14.	刘洋, 张一敏, 王小成, 等. 四川大学华西医院日间手术出院后管理规范. 华西医学, 2019, 34(2): 137-139.

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. 刘洋, 马洪升, 叶辉. 日间腹腔镜胆囊切除术推广面临的问题与对策. 中华医院管理杂志, 2017, 33(5): 354-356.
3. 陈云清. 医院绩效考核应向全面绩效管理转变. 中国现代医生, 2013, 51(4): 136-139.
4. 李岩. 美国医疗质量管理之父多那比第安 (Avedis Donabedian). 中国医院, 2003, 7(5): 26.
5. 白雪, 马洪升, 戴燕. 日间手术流程再造及管理模式优化研究. 华西医学, 2015, 30(5): 842-845.
6. 陈相军, 宋应寒, 陈敏, 等. 四川大学华西医院日间手术质量和安全管理规范. 华西医学, 2019, 34(2): 155-158.
7. 蒋丽莎, 马洪升. 日间手术评价与监控指标初探. 华西医学, 2019, 34(2): 202-205.
8. 徐嘉莹, 宋锴澄, 易杰, 等. 国外日间手术麻醉术前评估的新进展. 中国卫生质量管理, 2018, 25(4): 10-13.
9. 刘洋, 李志超, 马洪升. 四川大学华西医院日间手术患者延迟出院原因分析. 中国循证医学杂志, 2016, 16(4): 383-386.
10. 刘洋, 马洪升, 李志超, 等. 5520 例日间手术的安全和质量评价. 中国普外基础与临床杂志, 2015, 22(12): 1477-1481.
11. 张磊, 王小成, 赵晓燕, 等. 四川大学华西医院日间手术临床路径管理基本规范. 华西医学, 2019, 34(2): 150-154.
12. International Association for Ambulatory Surgery. Ambulatory surgery handbook: 2^nd edition, 2014. (2015-02-02)[2020-01-15]. https://www.iaas-med.com/files/2013/Day_Surgery_Manual.pdf.
13. 苑伟, 雷甜甜, 文茂瑶, 等. 四川大学华西医院日间手术患者管理模式初探. 华西医学, 2019, 34(2): 188-192.
14. 刘洋, 张一敏, 王小成, 等. 四川大学华西医院日间手术出院后管理规范. 华西医学, 2019, 34(2): 137-139.

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