Practice of innovative management model in day surgery of thoracic surgery_West China Medical Journal

Authors：

LOU Jieqiong ¹ , ZHENG Yue ¹ , LI Bo ² ,  HOU Xumin ³

1. Department of Medical Administration, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, P. R. China;
2. Department of Information Center, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, P. R. China;
3. President Office, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200030, P. R. China;

Corresponding author：

HOU Xumin, Email: hxmchest@163.com

Keywords：

Model innovation; day surgery; enhanced recovery after surgery; thoracic surgery

DOI：

10.7507/1002-0179.202309199

Video：

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Some complex surgical procedures allow for day surgery benefited from the advancement of the concept of enhanced recovery after surgery and minimally invasive surgical techniques. Shanghai Chest Hospital has set up thoracic day surgery ward incorporating some lung tumor surgeries into day surgery. Through process innovation, model innovation and management innovation, relying on the full-process closed-loop day surgery management system, the day surgery ward runs efficiently. It can help effectively alleviate the difficulty of admission and operation, and improve hospital operation efficiency as well as reduce the economic burden of disease. At the same time, we hope to explore an innovative development path for the possibility of day surgery in complex thoracic surgery, and create a new mode of day surgery that can be replicated and promoted.

Citation： LOU Jieqiong, ZHENG Yue, LI Bo, HOU Xumin. Practice of innovative management model in day surgery of thoracic surgery. West China Medical Journal, 2024, 39(2): 289-294. doi: 10.7507/1002-0179.202309199 Copy

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16.	张潘, 潘振宇, 李锟, 等. 各地日间手术医保管理政策的梳理与分析. 中国医院管理, 2021, 41(5): 55-59.

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2. 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.
3. 董映显, 朱道君, 车国卫, 等. 肺癌日间手术操作流程与临床应用效果分析. 中国肺癌杂志, 2020, 23(2): 77-83.
4. Khoury AL, Kolarczyk LM, Strassle PD, et al. Thoracic enhanced recovery after surgery: single academic center observations after implementation. Ann Thorac Surg, 2021, 111(3): 1036-1043.
5. 中国心胸血管麻醉学会日间手术麻醉分会, “基于术后加速康复的日归手术全程管理专家共识”工作组. 基于术后加速康复的日归手术全程管理专家共识. 中华麻醉学杂志, 2023, 43(4): 385-399.
6. 乔梁, 李勇杰. 日间手术的精准内涵及其发展策略分析. 中国医院, 2016, 20(11): 69-72.
7. 上海市市场监督管理局. 医院日间手术管理规范: DB31/T 1096-2018. 北京: 中国标准出版社, 2018.
8. 蒋丽莎, 宋应寒, 马洪升. 中国日间手术未来发展愿景. 华西医学, 2021, 36(2): 141-143.
9. 沈诚, 常帅, 周坤, 等. 加速康复外科和日间手术模式在胸外科中的应用现状及发展前景. 中国肺癌杂志, 2020, 23(9): 800-805.
10. Narayanan S, Arumugam D, Mennona S, et al. An evaluation of postoperative complications and cost after short-stay thyroid operations. Ann Surg Oncol, 2016, 23(5): 1440-1445.
11. 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.
12. 谢海南, 黄厚斌. 半日间手术模式及管理理念的探索和实践. 中国医院管理, 2022, 42(12): 40-42, 46.
13. 张继东, 洛华杰, 闻大翔, 等. 上海仁济医院日间手术专科化道路发展实践及思考. 中国医院, 2023, 27(9): 88-91.
14. 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.
15. Pereira L, Figueiredo-Braga M, Carvalho IP. Preoperative anxiety in ambulatory surgery: the impact of an empathic patient-centered approach on psychological and clinical outcomes. Patient Educ Couns, 2016, 99(5): 733-738.
16. 张潘, 潘振宇, 李锟, 等. 各地日间手术医保管理政策的梳理与分析. 中国医院管理, 2021, 41(5): 55-59.

West China Medical Journal

Practice of innovative management model in day surgery of thoracic surgery

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