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：

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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, 张世辉, 戴燕, 等. 四川大学华西医院日间手术室护理管理规范. 华西医学, 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.	黄丞, 张文信. 上海市分级诊疗成效、难点和问题分析. 中国医院, 2018, 22(11): 14-18.
9.	杨丽, 赵蓉. 上海市日间手术管理的标准化实践及思考. 华西医学, 2019, 34(2): 179-183.
10.	冯庆钊, 张凯. 腹股沟疝无张力修补日间手术开展初期与住院手术的比较与总结. 齐齐哈尔医学院学报, 2018, 39(16): 1905-1907.
11.	赵蓉, 杨丽, 张薇薇, 等. 上海市级医院日间手术发展现状评估. 中国医院, 2015, 19(4): 7-9.
12.	丁粉华, 孟丽莉, 耿茜, 等. 日间手术中心信息系统的设计和应用. 中国数字医学, 2015, 10(2): 51-53, 86.
13.	高解春, 杨佳泓, 刘军, 等. 日间手术的内涵及适宜范围研究. 中国医院, 2015, 19(4): 3-6.
14.	母晓莉, 徐俊, 陈鹤群, 等. 基于医联平台的服务总线架构设计与实现. 中国卫生信息管理杂志, 2015, 12(3): 284-289.
15.	戴燕, 李继平, 刘素珍, 等. 华西医院日间手术服务模式的构建. 四川医学, 2013, 34(7): 1124-1126.
16.	冷远洪, 胥兰婷, 陈静, 等. 日间手术患者出院准备度与出院指导质量相关性分析. 医学信息, 2020, 33(21): 133-136.
17.	罗绰, 黄明君, 蒋静文, 等. 某三甲医院2011年-2018年日间手术中心病例特点分析. 中国病案, 2020, 21(10): 70-74.
18.	陈丽红. 上海市19所医院病种绩效分析研究. 上海: 中国人民解放军海军军医大学, 2019.
19.	国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发第一批日间手术病种手术操作规范(试行)的通知. (2020-01-02)[2020-12-20]. http://www.nhc.gov.cn/yzygj/s7653/202001/1a840afdc4d14fea8ffcc4ed37910728.shtml.
20.	国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发第二批日间手术(操作)试点病种及术式推荐目录的通知. (2019-12-18)[2020-12-20]. http://www.gov.cn/xinwen/2019-12/29/content_5464916.htm.
21.	方鹏赛, 焦雅辉, 吴少玮, 等. 医院综合评价体系的理论依据及结果指标筛选. 中华医院管理杂志, 2010, 26(12): 900-902.
22.	俞德梁, 刘小南, 宁鹏涛. 首批日间手术适宜术式的探讨. 广西医学, 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, 张世辉, 戴燕, 等. 四川大学华西医院日间手术室护理管理规范. 华西医学, 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. 黄丞, 张文信. 上海市分级诊疗成效、难点和问题分析. 中国医院, 2018, 22(11): 14-18.
9. 杨丽, 赵蓉. 上海市日间手术管理的标准化实践及思考. 华西医学, 2019, 34(2): 179-183.
10. 冯庆钊, 张凯. 腹股沟疝无张力修补日间手术开展初期与住院手术的比较与总结. 齐齐哈尔医学院学报, 2018, 39(16): 1905-1907.
11. 赵蓉, 杨丽, 张薇薇, 等. 上海市级医院日间手术发展现状评估. 中国医院, 2015, 19(4): 7-9.
12. 丁粉华, 孟丽莉, 耿茜, 等. 日间手术中心信息系统的设计和应用. 中国数字医学, 2015, 10(2): 51-53, 86.
13. 高解春, 杨佳泓, 刘军, 等. 日间手术的内涵及适宜范围研究. 中国医院, 2015, 19(4): 3-6.
14. 母晓莉, 徐俊, 陈鹤群, 等. 基于医联平台的服务总线架构设计与实现. 中国卫生信息管理杂志, 2015, 12(3): 284-289.
15. 戴燕, 李继平, 刘素珍, 等. 华西医院日间手术服务模式的构建. 四川医学, 2013, 34(7): 1124-1126.
16. 冷远洪, 胥兰婷, 陈静, 等. 日间手术患者出院准备度与出院指导质量相关性分析. 医学信息, 2020, 33(21): 133-136.
17. 罗绰, 黄明君, 蒋静文, 等. 某三甲医院2011年-2018年日间手术中心病例特点分析. 中国病案, 2020, 21(10): 70-74.
18. 陈丽红. 上海市19所医院病种绩效分析研究. 上海: 中国人民解放军海军军医大学, 2019.
19. 国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发第一批日间手术病种手术操作规范(试行)的通知. (2020-01-02)[2020-12-20]. http://www.nhc.gov.cn/yzygj/s7653/202001/1a840afdc4d14fea8ffcc4ed37910728.shtml.
20. 国家卫生健康委办公厅. 国家卫生健康委办公厅关于印发第二批日间手术(操作)试点病种及术式推荐目录的通知. (2019-12-18)[2020-12-20]. http://www.gov.cn/xinwen/2019-12/29/content_5464916.htm.
21. 方鹏赛, 焦雅辉, 吴少玮, 等. 医院综合评价体系的理论依据及结果指标筛选. 中华医院管理杂志, 2010, 26(12): 900-902.
22. 俞德梁, 刘小南, 宁鹏涛. 首批日间手术适宜术式的探讨. 广西医学, 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.

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