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find Author "高红梅" 2 results
  • 膝关节镜日间手术卫生经济学效果分析

    目的 通过回顾性比较膝关节镜日间手术与非日间手术模式的卫生经济学相关指标,评价膝关节镜日间手术运行模式的卫生经济学效果。 方法 选择2014年8月-2015年6月行膝关节镜手术治疗的232例患者,将采用膝关节镜日间手术的138例患者作为日间组,同期在普通病房行膝关节镜手术治疗的94例患者作为非日间组,比较两组患者的平均住院费用、药费、材料费、治疗费、等候手术时间、平均住院时间、满意度和并发症发生率等指标。 结果 非日间组患者的平均满意度为94.89%,日间组患者的平均满意度为96.27%。日间组患者的平均总费用、药费、材料费和治疗费明显低于非日间组,两组差异有统计学意义(P<0.05)。非日间组患者的平均等候手术时间为(2.37±1.77)d,平均住院时间为(5.22±2.49)d;日间组患者当日住院当日手术,平均等候手术时间为0 d,平均住院时间为1 d。两组患者的等候手术时间和平均住院时间比较差异有统计学意义(P<0.05)。两组患者的并发症发生率比较差异无统计学意义(P>0.05)。 结论 膝关节镜日间手术与非日间手术相比,日间手术在提高床位周转率、医疗资源的利用率及大幅度降低住院费用方面具有明显的优势。

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  • Effect of conducting quality control circle activities on the decrease of broken appointment rate of day surgery

    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.

    Release date:2017-04-19 10:17 Export PDF Favorites Scan
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