四川大学华西医院日间手术患者管理模式初探
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摘要
四川大学华西医院日间服务中心自2009年成立以来,秉承以患者为中心的服务理念,不断改进管理模式,逐渐完善服务流程,以保证医院的医疗质量和安全,优化医疗资源的利用。该院针对日间手术管理制定了完善的患者准入制度、手术医师资格准入、规范的预约流程和应急预案,与传统住院手术相比,患者入院流程、术者职责、护理环节均有相应改变。该文旨在介绍目前四川大学华西医院日间手术管理模式,通过在实践应用中的相互比较、相互作用,结合实际情况,讨论集中管理和分散管理的临床应用,探索适用性高、更加符合我国国情的日间手术模式。
Since its establishment in 2009, adhering to the concept of patient-centered service, the Day Surgery Center of West China Hospital of Sichuan University has been improving the management model constantly, and perfecting the service process gradually, to ensure the medical quality and safety of the hospital, and optimize the utilization of medical resources. In view of the management of day surgery, the hospital has formulated a sound patient access system, surgeon access principle, standardized appointment process and contingency plans, and made changes in patient admission process, responsibilities of surgeons, and nursing care comparing with the traditional hospital operation. The purpose of this paper is to introduce the management model of day surgery in West China Hospital of Sichuan University, discuss the clinical application of centralized and decentralized management in combination with the actual situation, and explore the model of day surgery with high applicability and more consistent with our national conditions.
Since its establishment in 2009, adhering to the concept of patient-centered service, the Day Surgery Center of West China Hospital of Sichuan University has been improving the management model constantly, and perfecting the service process gradually, to ensure the medical quality and safety of the hospital, and optimize the utilization of medical resources. In view of the management of day surgery, the hospital has formulated a sound patient access system, surgeon access principle, standardized appointment process and contingency plans, and made changes in patient admission process, responsibilities of surgeons, and nursing care comparing with the traditional hospital operation. The purpose of this paper is to introduce the management model of day surgery in West China Hospital of Sichuan University, discuss the clinical application of centralized and decentralized management in combination with the actual situation, and explore the model of day surgery with high applicability and more consistent with our national conditions.
引文
1马洪升.日间医疗服务的展望.华西医学, 2016, 31(4):601-602.
2Fox JP, Vashi AA, Ross JS, et al. Hospital-based, acute care after ambulatory surgery center discharge. Surgery, 2014, 155(5):743-753.
3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.
4 周丹枫,马楠,蒋卓,等.日间手术模式的探索.浙江医学, 2018,40(14):1651-1652.
5Philip BK. Day care surgery:the United States model of healthcare.Ambul Surg, 2012, 17(4):81-82.
6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.
7 刘常清,任宏飞,李继平,等.日间手术管理模式与发展现状.护理研究, 2016, 30(28):3466-3469.
8袁华娣,张秀来,马戈,等.基于患者安全的日间手术管理体系构建.中华医院管理杂志, 2017, 33(5):352-354.
9 马洪升,蒋丽莎,刘洋,等.快速康复外科理念在日间手术中的实践.中国普外基础与临床杂志, 2015, 22(11):1384-1385.
10马洪升,程南生,朱涛,等.华西医院日间手术快速康复(ERAS)规范.中国胸心血管外科临床杂志, 2016, 23(2):104-106.
11 饶跃峰,王融溶,卢晓阳,等.加速康复外科围手术期疼痛管理中非甾体抗炎药的应用进展.中华普通外科杂志, 2017, 32(3):282-284.
12李志超,马洪升,杨建超,等.日间手术医疗质量与安全保障系统构建的对策研究.华西医学, 2017, 32(4):493-496.
13 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.
14夏新,陈金磊,刘博,等.外科手术及手术医师资质管理系统的构建与实践.中国医学教育技术, 2016, 30(2):201-204.
15Singarelli S, Berni A, Coppo G, et al. Day-surgery, one-day surgery:the experience of an ENT unit in a 250 bed hospital. Acta Otorhinolaryngol Ital, 2005, 25(6):365-369.
16Mitchell M. Literature review:home recovery following day surgery. Ambul Surg, 2013, 19(1):13-27.
2Fox JP, Vashi AA, Ross JS, et al. Hospital-based, acute care after ambulatory surgery center discharge. Surgery, 2014, 155(5):743-753.
3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.
4 周丹枫,马楠,蒋卓,等.日间手术模式的探索.浙江医学, 2018,40(14):1651-1652.
5Philip BK. Day care surgery:the United States model of healthcare.Ambul Surg, 2012, 17(4):81-82.
6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.
7 刘常清,任宏飞,李继平,等.日间手术管理模式与发展现状.护理研究, 2016, 30(28):3466-3469.
8袁华娣,张秀来,马戈,等.基于患者安全的日间手术管理体系构建.中华医院管理杂志, 2017, 33(5):352-354.
9 马洪升,蒋丽莎,刘洋,等.快速康复外科理念在日间手术中的实践.中国普外基础与临床杂志, 2015, 22(11):1384-1385.
10马洪升,程南生,朱涛,等.华西医院日间手术快速康复(ERAS)规范.中国胸心血管外科临床杂志, 2016, 23(2):104-106.
11 饶跃峰,王融溶,卢晓阳,等.加速康复外科围手术期疼痛管理中非甾体抗炎药的应用进展.中华普通外科杂志, 2017, 32(3):282-284.
12李志超,马洪升,杨建超,等.日间手术医疗质量与安全保障系统构建的对策研究.华西医学, 2017, 32(4):493-496.
13 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.
14夏新,陈金磊,刘博,等.外科手术及手术医师资质管理系统的构建与实践.中国医学教育技术, 2016, 30(2):201-204.
15Singarelli S, Berni A, Coppo G, et al. Day-surgery, one-day surgery:the experience of an ENT unit in a 250 bed hospital. Acta Otorhinolaryngol Ital, 2005, 25(6):365-369.
16Mitchell M. Literature review:home recovery following day surgery. Ambul Surg, 2013, 19(1):13-27.