Study on monitoring index system concerning day surgery based on enhanced recovery after surgery in municipal hospitals_West China Medical Journal

Authors：

CHENG Yuejia ^1,2 , SHEN Bing ² , LI Qun ³ , CHEN Min ⁴ , ZHENG Yue ¹ , YU Songxuan ² ,  HOU Lengchen ²

1. Department of Medical Affairs, Shanghai Chest Hospital / Shanghai Jiao Tong University School of Medicine Affiliated Chest Hospital, Shanghai 200030, P. R. China;
2. Department of Medical Business, Shanghai Shenkang Hospital Development Center, Shanghai 200041, P. R. China;
3. Department of Medical Affairs, Shanghai General Hospital, Shanghai 201600, P. R. China;
4. Department of Information, Children’s Hospital of Shanghai / Children’s Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200062, P.R. China;

Corresponding author：

HOU Lengchen, Email: zhlcg1380@163.com

Keywords：

Day surgery; enhanced recovery after surgery; structure-process-outcome indicators

DOI：

10.7507/1002-0179.202211070

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Objective To establish a set of structure-process-outcome (SPO) indicators associating with the enhanced recovery after surgery (ERAS) process in day surgeries, based on the current data from Shanghai municipal hospitals. Methods The data on the first page of medical records of patients undergoing short-course surgery in 36 municipal hospitals in Shanghai between 2019 and 2021 were selected. The development of day surgery was analyzed, and the appropriate diseases and surgical catalogue for standardized management of day surgery were determined. Based on ERAS, the three-dimensional integrated indicators combined SPO process were designed. Results According to the national recommended day surgery directory, there were 87 kinds of day surgeries caried out by Shanghai municipal hospitals during 2019-2021. Another 81 kinds of day surgeries recommend had less than 100 cases. Under the circumstances, a set of SPO indicators were established, including 34 process indicators and 20 outcome indicators. They covered all process of day surgery. Conclusions An increase of day surgery is observed from 2019 to 2021 among Shanghai municipal hospitals. But the surgical ability still needs improving. The application of SPO indicators would provide evidence to enhance evaluation on how multi-disciplinary treatment and ERAS are conducted among day surgeries, therefore estimating if the surgical process is standard and methodical.

Citation： CHENG Yuejia, SHEN Bing, LI Qun, CHEN Min, ZHENG Yue, YU Songxuan, HOU Lengchen. Study on monitoring index system concerning day surgery based on enhanced recovery after surgery in municipal hospitals. West China Medical Journal, 2023, 38(2): 214-219. doi: 10.7507/1002-0179.202211070 Copy

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16.	郭晓青, 陆雯, 万小平. 妇科加速康复外科的核心理念和基本原则. 实用妇产科杂志, 2021, 37(2): 81-83.
17.	谢周龙龙, 李倩, 张蓉, 等. 加速康复外科理念在儿童日间手术围术期的应用. 中国卫生质量管理, 2021, 28(12): 4-7.
18.	李佳音, 王清江, 曾福安, 等. 基于加速康复外科理念的乳腺良性肿瘤日间手术临床路径探索. 中国卫生质量管理, 2021, 28(4): 16-18.
19.	李志超, 马洪升, 杨建超, 等. 我国日间手术质量与安全管理理论框架的多层次多维度全景重构. 中国卫生事业管理, 2020, 37(9): 644-646,658.
20.	王亚宁, 董魁, 李建涛. 基于 Delphi 法和层次分析法构建眼科日间手术医疗质量评价指标体系. 中国卫生质量管理, 2022, 29(8): 28-32.

1. 于丽华. 中国日间手术发展的历程与展望. 中国医院管理, 2016, 36(6): 16-18.
2. 国家卫生计生委办公厅, 人力资源社会保障部办公厅. 关于印发日间手术试点医院名单的通知. (2017-11-15)[2022-11-01]. http://www.nhc.gov.cn/yzygj/s3594q/201806/41dfe7766a3e4c31976134eee08eb1a8.shtml.
3. 国务院办公厅. 国务院办公厅关于推动公立医院高质量发展的意见. (2021-06-04)[2022-11-01]. http://www.nhc.gov.cn/bgt/gwywj2/202106/034d0ba894fa4acfb9ed19692514c1b5.shtml.
4. 孙辉, 王凯, 朱宏, 等. 2016-2022 年我国日间手术术式变化及对日间手术规范化发展的思考. 中国医院, 2022, 26(8): 10-13.
5. 孙辉, 明敏馨, 马旭东. 我国二、三级医疗机构日间手术发展现状分析. 中国医院管理, 2022, 42(3): 48-51.
6. 嵇武, 刘亚萍, 戴玮. 我国日间手术开展现状与前景展望. 中国实用外科杂志, 2020, 40(2): 199-202.
7. 刘子嘉, 黄会真, 黄宇光. 从加速康复外科理念看日间手术: 英国 2019 年日间手术指南解读. 协和医学杂志, 2019, 10(6): 570-574.
8. 杨丽, 赵蓉. 加强上海市级医院日间手术规范化管理的实践与思考. 中国卫生质量管理, 2018, 25(4): 1-3.
9. 缪传文, 李群, 陈德键, 等. 日间手术质量管理与评价探讨. 中国医院管理, 2017, 37(12): 42-43.
10. 江志伟. 加速康复外科学的概念与发展历史. 中华普通外科杂志, 2018, 33(8): 625-626.
11. 陈创奇. 加速康复外科理念中的微创手术. 中华胃肠外科杂志, 2022, 25(7): 632-635.
12. 杨尹默. 如何规范化开展加速康复外科的临床实践. 中华胃肠外科杂志, 2022, 25(7): 563-567.
13. 冯向英, 张平, 聂煌, 等. 加速康复外科在我国胃肠外科应用现况的认知和态度调查. 中华胃肠外科杂志, 2022, 25(7): 621-624.
14. 李海鹏, 葛锋. 日间手术存在的问题与优化策略探讨. 中国医院管理, 2022, 42(6): 64-66.
15. 成月佳, 侯旭敏, 徐婷婷, 等. 基于价值医疗的胸外科加速康复外科实践效果研究. 中国医院管理, 2021, 41(4): 56-59.
16. 郭晓青, 陆雯, 万小平. 妇科加速康复外科的核心理念和基本原则. 实用妇产科杂志, 2021, 37(2): 81-83.
17. 谢周龙龙, 李倩, 张蓉, 等. 加速康复外科理念在儿童日间手术围术期的应用. 中国卫生质量管理, 2021, 28(12): 4-7.
18. 李佳音, 王清江, 曾福安, 等. 基于加速康复外科理念的乳腺良性肿瘤日间手术临床路径探索. 中国卫生质量管理, 2021, 28(4): 16-18.
19. 李志超, 马洪升, 杨建超, 等. 我国日间手术质量与安全管理理论框架的多层次多维度全景重构. 中国卫生事业管理, 2020, 37(9): 644-646,658.
20. 王亚宁, 董魁, 李建涛. 基于 Delphi 法和层次分析法构建眼科日间手术医疗质量评价指标体系. 中国卫生质量管理, 2022, 29(8): 28-32.

West China Medical Journal

Study on monitoring index system concerning day surgery based on enhanced recovery after surgery in municipal hospitals

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