Evaluation of Safety and Quality of 5 520 Cases in Day Surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIUYang ,  MAHong-sheng , LIZhi-chao , WANGXiao-cheng

Department of Day Surgery Center, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China;

Corresponding author：

MAHong-sheng, Email: mahongsheng63@163.com

Keywords：

Day surgery; Medical safety; Medical quality; Complications; Readmission rate; Satisfaction

DOI：

10.7507/1007-9424.20150385

Video：

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Objective To evaluate the safety and quality of patients in day surgery. Methods The clinical data of patients in day surgery from March to December 2014 in this hospital were collected. The incidence of complications, delayed discharge rate, rate of readmission to hospital, satisfaction, and so on, were analyzed. Results Of 5 520 patients were in day surgery, including laporoscopic cholecystectomy, hernia repair surgery, vocal cord polyps resection, breast minimally invasive surgery, varicose vein of lower limb, choledochoscopy, gastrointestinal polyposis, and so on. No patient was loss of follow-up, unplanned reoperation or death after day surgery. There were 39.95%(2 205/5 520) of wound pain and 0.51%(28/5 520) of postoperative nausea and vomiting in the complications. The delayed discharge rate was 0.62%(34/5 520), the rate of unplanned readmission to hospital was 0.49%(27/5 520), and the satisfaction rate was 98.99%(5 464/5 520). Conclusion For the above surgery types in this study, the day surgery mode is safe and effective.

Citation： LIUYang, MAHong-sheng, LIZhi-chao, WANGXiao-cheng. Evaluation of Safety and Quality of 5 520 Cases in Day Surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(12): 1477-1481. doi: 10.7507/1007-9424.20150385 Copy

1.	税章林, 石应康, 马洪升, 等.日间手术定义、范畴在我国适用的探讨.中国卫生事业管理, 2011, (12): 63-65.
2.	Nicoll JM. The surgery of infancy. BMJ, 1909: 753-756.
3.	白雪, 马洪升, 罗利.中外日间手术发展对比研究及展望.中国医院管理, 2014, 34(5): 35-37.
4.	马洪升, 戴燕.日间手术治疗模式国内外发展简述.中国医院管理, 2012, 32(1): 47-48.
5.	Castoro C. Ambulatory surgery: Current status and future trends. East Centr Afric J Surg, 2006, 11(1): 67-68.
6.	Department of Health. Day surgery: Operational guide. 2002. www.gov.uk/dh.
7.	Abstract Book of 9th International Congress on Ambulatory Surgery. http://www.iaascongress2011.org.
8.	Coley KC, Williams BA, Dapos SV, et al. Retrospective evaluation of unanticipated admissions and readmissions after same day surgery and associated costs. J Clin Anesth, 2002, 14(5): 349-353.
9.	Chung F, Chan VW, Ong D. A post-anesthetic discharge scoring system for home readiness after ambulatory surgery. J Clin Anesth, 1995, 7(6): 500-506.
10.	梁铭会.医院患者安全目标手册.北京:科学技术文献出版社, 2013: 12-13.
11.	Jarrett PE, Staniszewski A. The development of ambulatory surgery and future challenges. London: International Association for Ambulatory Surgery, 2006: 89-124.
12.	石强.小切口日间手术治疗小儿腹股沟斜疝804例分析.中国实用医药, 2010, 5(31): 58-59.
13.	胡世雄, 黄侃, 王三明, 等. "腹股沟疝24 h出入院"治疗模式临床应用.中国实用外科杂志, 2012, 32(10): 851-852.
14.	李关平, 谭永琼, 黄文霞.日间手术模式的实践及经验.华西医学, 2011, 26(10): 1568-1570.
15.	税章林, 石应康, 马洪升, 等.日间手术诊疗模式的实践与本土化的思考.中国医院, 2012, 16(4): 38-40.
16.	International Association for Ambulatory Surgery(IAAS). Ambulatory Surgery Handbook. http://www.iaas-med.com/files/2013/Day_Surgery_Manual.pdf , 2013.
17.	马洪升, 余伟萍, 马庆鑫, 等.日间手术医疗安全和病人感知调查与分析.中国医院管理, 2013, 33(2): 38-39.
18.	刘素珍, 李继平, 郭晶, 等.日间手术患者延伸服务模式构建与实践.中国护理管理, 2012, 12(9): 5-7.
19.	Apfel CC, Roewer N. Risk assessment of postoperative nausea and vomiting. Int Anesthesiol Clin, 2003, 41(4): 13-32.
20.	Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perio-perative care in elective colonic surgery: Enhanced Recovery After Surgery(ERAS) Society recommendations. World J Surg, 2013, 37(2): 259-284.
21.	Younis J, Salerno G, Fanto D, et al. Focused preoperative patient stoma education, prior to ileostomy formation after anterior resec-tion, contributes to a reduction in delayed discharge within the enh-anced recovery programme. Int J Colorectal Dis, 2012, 27(1): 43-47.
22.	徐海英, 沈伟.择期手术患者缩短术前禁食禁饮时间的研究.护士进修杂志, 2010, 25(2): 109-111.
23.	秦薇.择期手术患者术前禁食禁饮时间的研究进展.中华护理杂志, 2014, 49(1): 76-78.
24.	Akcaboy EY, Akcaboy ZN, Gogus N. Comparison of paravertebral block versus fast-track general anesthesia via laryngeal mask airway in outpatient inguinal herniorrhaphy. J Anesth, 2010, 24(5): 687-693.
25.	Fredman B, Sheffer O, Zohar E, et al. Fast-track eligibility of geria-tric patients undergoing short urologic surgery procedures. Anesth Analg, 2002, 94(3): 560-564.
26.	Baldini A, Golfier F, Mouloud K, et al. Day case laparoscopic neph-rectomy with vaginal extraction: initial experience. Urology, 2014, 84(6): 1525-1528.
27.	Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perio-perative care in elective colonic surgery: Enhanced Recovery After Surgery(ERAS) Society recommendations. Clin Nutr, 2012, 31(6): 783-800.
28.	李志超, 王煜, 王小成, 等.基于快速康复外科理念的疼痛管理模式在日间腹腔镜胆囊切除术的应用.华西医学, 2015, 30(5): 804-807.
29.	Slim K, Vicaut E, Launay-Savary MV, et al. Updated systematic review and meta-analysis of randomized clinical trials on the role of mechanical bowel preparation before colorectal surgery. Ann Surg, 2013, 249(2): 203-209.

1. 税章林, 石应康, 马洪升, 等.日间手术定义、范畴在我国适用的探讨.中国卫生事业管理, 2011, (12): 63-65.
2. Nicoll JM. The surgery of infancy. BMJ, 1909: 753-756.
3. 白雪, 马洪升, 罗利.中外日间手术发展对比研究及展望.中国医院管理, 2014, 34(5): 35-37.
4. 马洪升, 戴燕.日间手术治疗模式国内外发展简述.中国医院管理, 2012, 32(1): 47-48.
5. Castoro C. Ambulatory surgery: Current status and future trends. East Centr Afric J Surg, 2006, 11(1): 67-68.
6. Department of Health. Day surgery: Operational guide. 2002. www.gov.uk/dh.
7. Abstract Book of 9th International Congress on Ambulatory Surgery. http://www.iaascongress2011.org.
8. Coley KC, Williams BA, Dapos SV, et al. Retrospective evaluation of unanticipated admissions and readmissions after same day surgery and associated costs. J Clin Anesth, 2002, 14(5): 349-353.
9. Chung F, Chan VW, Ong D. A post-anesthetic discharge scoring system for home readiness after ambulatory surgery. J Clin Anesth, 1995, 7(6): 500-506.
10. 梁铭会.医院患者安全目标手册.北京:科学技术文献出版社, 2013: 12-13.
11. Jarrett PE, Staniszewski A. The development of ambulatory surgery and future challenges. London: International Association for Ambulatory Surgery, 2006: 89-124.
12. 石强.小切口日间手术治疗小儿腹股沟斜疝804例分析.中国实用医药, 2010, 5(31): 58-59.
13. 胡世雄, 黄侃, 王三明, 等. "腹股沟疝24 h出入院"治疗模式临床应用.中国实用外科杂志, 2012, 32(10): 851-852.
14. 李关平, 谭永琼, 黄文霞.日间手术模式的实践及经验.华西医学, 2011, 26(10): 1568-1570.
15. 税章林, 石应康, 马洪升, 等.日间手术诊疗模式的实践与本土化的思考.中国医院, 2012, 16(4): 38-40.
16. International Association for Ambulatory Surgery(IAAS). Ambulatory Surgery Handbook. http://www.iaas-med.com/files/2013/Day_Surgery_Manual.pdf , 2013.
17. 马洪升, 余伟萍, 马庆鑫, 等.日间手术医疗安全和病人感知调查与分析.中国医院管理, 2013, 33(2): 38-39.
18. 刘素珍, 李继平, 郭晶, 等.日间手术患者延伸服务模式构建与实践.中国护理管理, 2012, 12(9): 5-7.
19. Apfel CC, Roewer N. Risk assessment of postoperative nausea and vomiting. Int Anesthesiol Clin, 2003, 41(4): 13-32.
20. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perio-perative care in elective colonic surgery: Enhanced Recovery After Surgery(ERAS) Society recommendations. World J Surg, 2013, 37(2): 259-284.
21. Younis J, Salerno G, Fanto D, et al. Focused preoperative patient stoma education, prior to ileostomy formation after anterior resec-tion, contributes to a reduction in delayed discharge within the enh-anced recovery programme. Int J Colorectal Dis, 2012, 27(1): 43-47.
22. 徐海英, 沈伟.择期手术患者缩短术前禁食禁饮时间的研究.护士进修杂志, 2010, 25(2): 109-111.
23. 秦薇.择期手术患者术前禁食禁饮时间的研究进展.中华护理杂志, 2014, 49(1): 76-78.
24. Akcaboy EY, Akcaboy ZN, Gogus N. Comparison of paravertebral block versus fast-track general anesthesia via laryngeal mask airway in outpatient inguinal herniorrhaphy. J Anesth, 2010, 24(5): 687-693.
25. Fredman B, Sheffer O, Zohar E, et al. Fast-track eligibility of geria-tric patients undergoing short urologic surgery procedures. Anesth Analg, 2002, 94(3): 560-564.
26. Baldini A, Golfier F, Mouloud K, et al. Day case laparoscopic neph-rectomy with vaginal extraction: initial experience. Urology, 2014, 84(6): 1525-1528.
27. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perio-perative care in elective colonic surgery: Enhanced Recovery After Surgery(ERAS) Society recommendations. Clin Nutr, 2012, 31(6): 783-800.
28. 李志超, 王煜, 王小成, 等.基于快速康复外科理念的疼痛管理模式在日间腹腔镜胆囊切除术的应用.华西医学, 2015, 30(5): 804-807.
29. Slim K, Vicaut E, Launay-Savary MV, et al. Updated systematic review and meta-analysis of randomized clinical trials on the role of mechanical bowel preparation before colorectal surgery. Ann Surg, 2013, 249(2): 203-209.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Evaluation of Safety and Quality of 5 520 Cases in Day Surgery

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