Exploration on the management of day surgery under epidemic prevention and control_West China Medical Journal

Authors：

SHEN Ting ^1,2 ,  LI Qun ^2,3 , ZHONG Liwei ^1,2 , WANG Huixin ^1,2 , ZHONG Zhen ^1,2 , GU Jiefei ^1,2

1. Department of Medical Affairs, Shanghai Municipal Hospital of Traditional Chinese Medicine, Shanghai 200071, P. R. China;
2. Disease Quality and Safety Research Center of Municipal Hospital, Shanghai 200071, P. R. China;
3. Department of Medical Affairs, Shanghai General Hospital, Shanghai 201600, P. R. China;

Corresponding author：

LI Qun, Email: qunli70@126.com

Keywords：

Epidemic prevention and control; day surgery management; national recommended directory

DOI：

10.7507/1002-0179.202211100

Video：

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Objective To explore the Shanghai featured day surgery directory to provide policy support for further promoting the development of day surgery and focusing on appropriate diseases. Methods The data of day surgery patients discharged from Shanghai municipal hospitals within 24 hours between January 1 and September 30, 2021 or between January 1 and September 30, 2022 were collected. The number of day surgical cases, average cost and the trend of surgical diseases in 2021 and 2022 were compared. The day surgical diseases suitable for normalized epidemic prevention and control were summarized. Results A total of 35 municipal hospitals were included, including 175 201 patients. A total of 107 101 operations were performed in 2021 and 68 100 in 2022. In the second quarter of 2022, affected by the epidemic situation in Shanghai, the number of cases undergoing day surgery decreased significantly, and the average cost was not significantly affected by the epidemic situation. In 2022, 27 of the day surgery carried out in Shanghai municipal hospitals did not appear in the national recommended directory, and the number of operations for 6 diseases recovered rapidly under the normalized epidemic prevention and control. Conclusion Vigorously implementing day surgery can improve the utilization rate of hospital beds, speed up the turnover of patients, improve the utilization rate of medical resources, and reduce the hospitalization time of patients, the waiting time for surgery and the accompanying time of family members to meet the epidemic prevention requirements.

Citation： SHEN Ting, LI Qun, ZHONG Liwei, WANG Huixin, ZHONG Zhen, GU Jiefei. Exploration on the management of day surgery under epidemic prevention and control. West China Medical Journal, 2023, 38(2): 288-294. doi: 10.7507/1002-0179.202211100 Copy

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14.	孟丽莉, 张继东, 朱华, 等. 运用 IT 设计医院日间管理新模式的难点与对策. 中国数字医学, 2014, 9(6): 87-89.
15.	黄耿文. 新型冠状病毒肺炎疫情下实施普通外科手术的思考和建议. 中国普通外科杂志, 2020, 29(2): 127-130.
16.	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.
17.	杨佳泓, 赵蓉, 杨丽, 等. 上海申康医院发展中心推动市级公立医院持续改善医疗服务的做法. 中国医院 2016, 20(1): 4-6.
18.	安彦锦, 陈醒醒, 杨怀, 等. 新冠疫情常态化防控期间医院感染的特点及其应对措施. 中华医院感染学杂志, 2022, 32(1): 145-150.

1. Nicoll JH. The surgery of infancy. BMJ, 1909, 2(2542): 753-754.
2. 孙辉, 王凯, 朱宏, 等. 2016-2022 年我国日间手术术式变化及对日间手术规范化发展的思考. 中国医院, 2022, 26(8): 10-13.
3. 杜宁, 于广军, 杨佳泓, 等. 13 家市级医院推进日间手术的效果分析. 中国医院, 2010, 14(1): 39-41.
4. 俞德梁, 刘小南, 宁鹏涛, 等. 中国日间手术政策演变及对医疗决策发展的启示. 医学与哲学, 2016, 37(6B): 4-7.
5. 吴汉森, 周树勤, 胡瑞. 新冠肺炎疫情下大型公立医院麻醉科手术室的管理与质量控制. 现代医院, 2022, 22(3): 380-382.
6. 孙博, 刘雷, 王东光. 国内日间手术发展进程、存在问题与对策建议. 中国卫生质量管理, 2018, 25(5): 17-20.
7. 嵇武, 刘亚萍, 戴玮. 我国日间手术开展现状与前景展望. 中国实用外科杂志, 2020, 40(2): 199-202.
8. 戴燕, 马洪升, 张雨晨. 华西日间手术护理管理制度规范构建与实践. 华西医学, 2017, 32(4): 497-499.
9. 史力群, 夏仲方, 潘云龙. 推进日间手术规范化管理的思考. 现代医院, 2015, 15(11): 9-10.
10. 吉祥, 景莹, 吴琦, 等. 新型冠状病毒肺炎疫情下开展日间手术的思考. 重庆医学, 2020, 49(17): 2831-2833.
11. 冯国斌, 刘艳亭. 5G 移动网络技术结合现有医疗应用探索. 医学信息学杂志, 2019, 40(10): 25-29.
12. 贾丹, 何谦, 赵淑珍, 等. 大型综合医院门诊应对新型冠状病毒肺炎疫情的管理策略. 中华护理杂志, 2020, 55(5): 675-678.
13. 王可, 李利杰, 王宇鹰. 眼科门诊应对新型冠状病毒肺炎的管理实践. 中华眼外伤职业眼病杂志, 2020, 42(2): 156-160.
14. 孟丽莉, 张继东, 朱华, 等. 运用 IT 设计医院日间管理新模式的难点与对策. 中国数字医学, 2014, 9(6): 87-89.
15. 黄耿文. 新型冠状病毒肺炎疫情下实施普通外科手术的思考和建议. 中国普通外科杂志, 2020, 29(2): 127-130.
16. 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.
17. 杨佳泓, 赵蓉, 杨丽, 等. 上海申康医院发展中心推动市级公立医院持续改善医疗服务的做法. 中国医院 2016, 20(1): 4-6.
18. 安彦锦, 陈醒醒, 杨怀, 等. 新冠疫情常态化防控期间医院感染的特点及其应对措施. 中华医院感染学杂志, 2022, 32(1): 145-150.

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