Specifications for the quality and safety management of day surgery in West China Hospital of Sichuan University
1. Medical Affairs Department, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China
2. Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China
3. Department of Hepatology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China
日间手术作为一种新型的诊疗模式，在国外备受推崇。其在中国虽然起步较晚，但由于日间手术模式住院时间短和住院费用较少等优势，已经在我国部分大型医院逐渐得到推广和应用。日间手术管理要求患者从入院、手术至出院全过程在 24 h 以内完成，因此保证日间手术的医疗质量及患者安全成为影响日间手术可持续发展的首要因素。该文对四川大学华西医院制定的日间手术质量和安全管理规范进行了介绍，以规范和推进日间手术的应用，进一步提高日间手术医疗质量与安全管理的质量。
Day surgery is a new mode of diagnosis and treatment, and is greatly honoured and rewarded abroad. In China, day surgery begins rather later, but it has been gradually spread and applied in some large hospitals for its shorter hospital stay and less hospitalization cost. Day surgery management is a process including admission, operation, and discharge that should be finished within 24 hours, so the guarantee of medical quality and patient safety is principal factor of sustainable development influencing day surgery. This paper introduces the specifications for the quality and safety management of day surgery in West China Hospital of Sichuan University, to regulate and promote the application of day surgery, and further improve the medical quality and safety of day surgery.
Mitchell M. Literature review: home recovery following day surgery. Ambulat Surg J, 2013, 19(1): 13-27.
Mitchell M. Home recovery following day surgery: a patient perspective. J Clin Nurs, 2015, 24(3/4): 415-427.
Aspinen S, Harju J, Juvonen P, et al. A prospective, randomized multicenter study comparing conventional laparoscopic cholecystectomy versus minilaparotomy cholecystectomy with ultrasonic dissection as day surgery procedure-1-year outcome. Scand J Gastroenterol, 2014, 49(11): 1336-1342.
Makary MA, Sexton JB, Freischlag JA, et al. Patient safety in surgery. Ann Surg, 2006, 243(5): 628-632.
Anderson T, Walls M, Canelo R. Day case surgery guidelines. Surgery (Oxford), 2017, 35(2): 85-91.