华西医学

华西医学

四川大学华西医院日间手术质量和安全管理规范

查看全文

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.

关键词: 日间手术; 医疗质量; 患者安全; 管理规范

Key words: Day surgery; Medical quality; Patient safety; Management specification

引用本文: 陈相军, 宋应寒, 陈敏, 李大江, 曾勇, 苑伟, 马洪升. 四川大学华西医院日间手术质量和安全管理规范. 华西医学, 2019, 34(2): 155-158. doi: 10.7507/1002-0179.201901117 复制

登录后 ,请手动点击刷新查看全文内容。 没有账号,
1. 马洪升. 日间医疗服务的展望. 华西医学, 2016, 31(4): 601-602.
2. Mitchell M. Literature review: home recovery following day surgery. Ambulat Surg J, 2013, 19(1): 13-27.
3. Mitchell M. Home recovery following day surgery: a patient perspective. J Clin Nurs, 2015, 24(3/4): 415-427.
4. 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.
5. Makary MA, Sexton JB, Freischlag JA, et al. Patient safety in surgery. Ann Surg, 2006, 243(5): 628-632.
6. Anderson T, Walls M, Canelo R. Day case surgery guidelines. Surgery (Oxford), 2017, 35(2): 85-91.
7. 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.
8. 赵蓉, 杨丽, 张薇薇, 等. 上海市级医院日间手术发展现状评估. 中国医院, 2015, 19(4): 7-9.
9. 《抗菌药物临床应用指导原则》修订工作组. 抗菌药物临床应用指导原则: 2015年版. 北京: 人民卫生出版社, 2015.
10. 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.