Core principles of quality and safety management for day surgery at West China Hospital of Sichuan University_West China Medical Journal

Authors：

JIANG Lisha ¹ ,  MA Hongsheng ^1,2

1. Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Day Surgery Center, West China Tianfu Hospital, Sichuan University, Chengdu, Sichuan 610213, P. R. China;

Corresponding author：

MA Hongsheng, Email: mahongsheng63@163.com

Keywords：

Day surgery; quality of medical care; safety management

DOI：

10.7507/1002-0179.202411358

Video：

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In 2022, the General Office of the National Health Commission issued Interim Regulations on Quality Management of Day Care in Medical Institutions, which strictly regulated the requirements for medical institutions to carry out day surgery, reflecting that medical quality and safety management is the core principle of day surgery management. Medical quality and safety management is the core foundation of the sustainable development of day surgery, which directly determines the life cycle and continuous vitality of day surgery in the future development of our country. The remarkable achievements of day surgery at West China Hospital of Sichuan University are attributed to a set of scientific and standardized quality and safety management measures based on clinical pathways. These measures not only provide fine management for every link in the surgical process, but also effectively guarantee the medical safety and treatment effect of patients by optimizing the operation norms before, during and after the operation. This article shares the quality and safety management concept of West China Hospital of Sichuan University, which is “proficient in pre-hospital care, cautious in hospital care, skilled in post-hospital care”, for the peers to learn from and share.

Citation： JIANG Lisha, MA Hongsheng. Core principles of quality and safety management for day surgery at West China Hospital of Sichuan University. West China Medical Journal, 2025, 40(2): 173-177. doi: 10.7507/1002-0179.202411358 Copy

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2.	蒋丽莎, 谢晓兰, 戴燕, 等. 四川大学华西医院日间手术入院前管理规范. 华西医学, 2019, 34(2): 133-136.
3.	蒋丽莎, 李文畅, 马洪升. 基于异构数据学习的日间腹腔镜胆囊切除术患者准入模型探索. 华西医学, 2024, 39(2): 300-303.
4.	Jiang L, Lei T, Zhou K, et al. Pivotal role of video-assisted thoracoscopic surgery in improving survival outcome of stage I non-small cell lung cancer in day surgery patients. Thorac Cancer, 2021, 12(21): 2865-2872.
5.	Brunelli A, Kim AW, Berger KI, et al. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest, 2013, 143(Suppl 5): e166S-e190S.
6.	Mills E, Eyawo O, Lockhart I, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med, 2011, 124(2): 144-154.e8.
7.	国家卫生健康委医院管理研究所肺癌手术日间化管理专家共识组, 车国卫. 肺癌手术日间化管理中国专家共识(2024 年版). 中国肺癌杂志, 2024, 27(6): 405-414.
8.	刘洋, 马洪升, 李志超, 等. 日间腹腔镜胆囊切除术临床路径的 PDCA 管理. 中国病案, 2016, 17(12): 35-37.
9.	宋应寒, 雷文章. 1892 例腹股沟疝日间手术的临床疗效. 中华消化外科杂志, 2015, 14(10): 823-826.
10.	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.
11.	中华医学会麻醉学分会. 日间手术麻醉指南. 中华医学杂志, 2023, 103(43): 3462-3471.
12.	梁晓兰, 冯凤谊, 陈雪丽, 等. 基于 Caprini 血栓风险评估的分阶段护理干预对术后 VTE 发生率及住院时间的影响. 国际护理学杂志, 2024, 43(20): 3728-3732.
13.	张勇. 儿童日间手术发生 POV 的危险因素分析. 中国实用医药, 2024, 19(5): 65-67.
14.	国家卫生健康委医院管理研究所日间医疗专家库, 《日间手术病历书写与管理专家共识(2024 版)》专家工作组. 日间手术病历书写与管理专家共识(2024 版). 中华医院管理杂志, 2024, 40(4): 254-262.
15.	李诗涵, 宋应寒, 杜姣姣, 等. 加强自我护理干预在日间支撑喉镜下声带息肉切除术患者中的应用. 中华现代护理杂志, 2018, 24(12): 1375-1378.
16.	郭晶, 刘素珍, 李继平, 等. 日间手术医院社区一体化协作网的建立及管理. 中华护理杂志, 2013, 48(11): 986-988.
17.	吴小华, 肖勇, 田双桂, 等. 基于“互联网+医联体”的日间手术延伸护理服务模式探讨. 医学信息学杂志, 2019, 40(8): 28-31, 57.
18.	李明远, 潘媛媛, 王新志. 分级诊疗背景下医联体和专科联盟建设的思考与实践. 中西医结合心脑血管病杂志, 2022, 20(19): 3538-3541.

1. 孙辉, 高嗣法, 孙佳璐, 等. 《医疗机构日间医疗质量管理暂行规定》的解读. 中国卫生质量管理, 2023, 30(5): 30-33.
2. 蒋丽莎, 谢晓兰, 戴燕, 等. 四川大学华西医院日间手术入院前管理规范. 华西医学, 2019, 34(2): 133-136.
3. 蒋丽莎, 李文畅, 马洪升. 基于异构数据学习的日间腹腔镜胆囊切除术患者准入模型探索. 华西医学, 2024, 39(2): 300-303.
4. Jiang L, Lei T, Zhou K, et al. Pivotal role of video-assisted thoracoscopic surgery in improving survival outcome of stage I non-small cell lung cancer in day surgery patients. Thorac Cancer, 2021, 12(21): 2865-2872.
5. Brunelli A, Kim AW, Berger KI, et al. Physiologic evaluation of the patient with lung cancer being considered for resectional surgery: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest, 2013, 143(Suppl 5): e166S-e190S.
6. Mills E, Eyawo O, Lockhart I, et al. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med, 2011, 124(2): 144-154.e8.
7. 国家卫生健康委医院管理研究所肺癌手术日间化管理专家共识组, 车国卫. 肺癌手术日间化管理中国专家共识(2024 年版). 中国肺癌杂志, 2024, 27(6): 405-414.
8. 刘洋, 马洪升, 李志超, 等. 日间腹腔镜胆囊切除术临床路径的 PDCA 管理. 中国病案, 2016, 17(12): 35-37.
9. 宋应寒, 雷文章. 1892 例腹股沟疝日间手术的临床疗效. 中华消化外科杂志, 2015, 14(10): 823-826.
10. 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.
11. 中华医学会麻醉学分会. 日间手术麻醉指南. 中华医学杂志, 2023, 103(43): 3462-3471.
12. 梁晓兰, 冯凤谊, 陈雪丽, 等. 基于 Caprini 血栓风险评估的分阶段护理干预对术后 VTE 发生率及住院时间的影响. 国际护理学杂志, 2024, 43(20): 3728-3732.
13. 张勇. 儿童日间手术发生 POV 的危险因素分析. 中国实用医药, 2024, 19(5): 65-67.
14. 国家卫生健康委医院管理研究所日间医疗专家库, 《日间手术病历书写与管理专家共识(2024 版)》专家工作组. 日间手术病历书写与管理专家共识(2024 版). 中华医院管理杂志, 2024, 40(4): 254-262.
15. 李诗涵, 宋应寒, 杜姣姣, 等. 加强自我护理干预在日间支撑喉镜下声带息肉切除术患者中的应用. 中华现代护理杂志, 2018, 24(12): 1375-1378.
16. 郭晶, 刘素珍, 李继平, 等. 日间手术医院社区一体化协作网的建立及管理. 中华护理杂志, 2013, 48(11): 986-988.
17. 吴小华, 肖勇, 田双桂, 等. 基于“互联网+医联体”的日间手术延伸护理服务模式探讨. 医学信息学杂志, 2019, 40(8): 28-31, 57.
18. 李明远, 潘媛媛, 王新志. 分级诊疗背景下医联体和专科联盟建设的思考与实践. 中西医结合心脑血管病杂志, 2022, 20(19): 3538-3541.

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