Objective To decrease broken appointment rate of day surgery by conducting quality control circle (QCC) activities, in order to make full use of quality resources. Methods All the patients who made an appointment in the day surgery units in Xiangya Hospital of Central South University between July and September 2015 were chosen as the research subjects. By counting the number of patients who broke the appointment, we analyzed the broken appointment rate. In October 2015, we established a QCC management team to deal with the phenomenon of high broken appointment rate, and set up a theme of " decreasing broken appointment rate of day surgery”. Related regulations were implemented and procedures were optimized. In December 2015, we compared the broken appointment rates before and after the implementation of QCC activities among all 1 879 patients. Results After the implementation of QCC activities, the day surgery broken appointment rate decreased from 17.16% to 6.06%, and the target achievement rate was 122.65%. Conclusion QCC activities can effectively reduce day surgery broken appointment rate.
Objective To analyze the causes of day surgery patients missing appointments, and discuss the countermeasures. Methods We selected the patients who had missed appointments for day surgery in the Second Affiliated Hospital Zhejiang University School of Medicine between January 2017 and June 2022. According to the implementation time of the measures, we divided the patients into two groups: pre-intervention (between January 2017 and June 2020) and post-intervention (between July 2020 and June 2022), to analyze the causes of patients’ cancellation, compare the change of patients’ cancellation rate before and after the implementation of measures, and explore the effectiveness of implementation measures. Results A total of 17 392 patients were included, and the total number of day surgery patients was 148 720 during the same period. The total cancellation rate was 11.69% (17 392/148 720). The cancellation rate in the post-intervention was lower than that in the pre-intervention [9.70% (7 935/81 775) vs. 14.13% (9 457/66 945), odds ratio was 0.695, 95% confidence interval (0.674, 0.717), P<0.001]. There were 13 common reasons for cancellation, of which “outpatient treatment, not hospitalization” was the most common reason. Conclusion Through the coordination of various departments, actively optimizing the preoperative evaluation of patients, updating the appointment process, strengthening effective communication and implementing the implementation of efficient medical treatment, the cancellation rate of day surgery can be reduced, which has certain reference significance to improving the management level of the hospital and the ability to serve patients.