首都医科大学附属北京同仁医院是多院区、集中与分散混合管理模式下开展日间手术的医院。为了保证医疗质量与安全、提升日间手术品质，近 3 年，该院通过在质量控制、效率内涵、服务保障 3 个方面进行同质化管理，全院开展的日间手术病种由 121 个增加至 251 个；日间手术室工作效率提高，医师临时取消手术率由 3.04% 降至 1.68%；医疗质量指标提升，非计划再手术率由 0.173‰ 下降为 0.078‰；患者满意度由 94% 提升为 99%。说明了同质化管理对于多院区、混合管理模式下的日间手术管理是能够有效保证医疗质量与安全，提升日间手术品质的有效管理方法。
Beijing Tongren Hospital, Capital Medical University is a multi-zone hospital, adopting a mixed mood of centralized and decentralized management of ambulatory surgery. In order to guarantee the medical quality and safety, and improve the quality of ambulatory surgery, during the past three years, through homogeneity management in three dimensions, including quality control, efficiency connotation, and service safeguard, the number of ambulatory surgery disease types carried out in the hospital increased from 121 to 251; the working efficiency of the day operating room was improved, and the rate of doctors’ temporary cancellation of operations was reduced from 3.04% to 1.68%; the medical quality index was improved, the rate of unplanned reoperation decreased from 0.173‰ to 0.078‰, and the patient satisfaction increased from 94% to 99%. It shows that the homogenization management is an effective management method to effectively guarantee the quality and safety of medical treatment and improve the quality of ambulatory surgery in multi-zone and mixed management mode.
引用本文： 倪如暘, 王宇, 张祎欢, 陈莹, 马张芳, 张平. 日间手术同质化管理的实践与探索. 华西医学, 2019, 34(2): 122-126. doi: 10.7507/1002-0179.201901073 复制