摘要
目的探讨实施精细化管理模式对日间手术占择期手术比例的影响。方法严格遵循顶层设计、系统谋划、关键要素、信息改造、数据监测等科学管理方法(五-三-三模式)实现日间手术安全开展、多方信息互通对称、入出衔接有序。同时,借助基于院前麻醉会诊提升日间手术及时性、安全性并持续数据监测。结果2023年日间手术占比21.85%,较2021年上升7.14%,平均住院时间较下降5.62%,术前待床时间下降27.60%,助力医院国考排名上升至全国第二。结论整体系统全面精细化管理举措,以五-三-三模式为核心可以保障日间手术开展的质量安全和效率。
Objective To explore the impact of implementing a refined management mode on the proportion of daytime surgery in elective surgery.Methods The Five-Three-Three Management Model,including top-level design,system planning,key elements,information transformation,and data monitoring,was strictly followed to ensure the safety of daytime operations,efficient information exchange,and orderly coordination between patient admission and discharge.Pre-hospital anesthesia consultations were also introduced to enhance the timeliness and safety and maintain data monitoring of daytime surgeries.Results In 2023,the proportion of day surgeries was 21.85%,an increase of 7.14%compared to 2021,with an average hospitalization duration decrease of 5.62%,and a 27.60%reduction in preoperative waiting time for bed.These advancements contributed to the hospital’s the hospital’s national exam ranking rising to second in the country.Conclusion Comprehensive and systematic refined management measures,with the Five-Three-Three management model at the core,can ensure the quality,safety,and efficiency of day surgery operations.
作者
章晓莲
张露莎
ZHANG Xiaolian;ZHANG Lusha(The First Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou 310003,China)
出处
《现代医院》
2024年第11期1716-1718,共3页
Modern Hospitals
关键词
高质量发展
绩效考核
精细化管理
日间手术
入院管理
High quality development
Performance evaluation
Refined management
Day surgery
Admission management
