摘要
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 from3.04% to 1.68%;the medical quality index was improved, the rate of unplanned reoperation decreased from 0.173‰ to0.078‰, 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.
作者
倪如暘
王宇
张祎欢
陈莹
马张芳
张平
NI Ruyang;WANG Yu;ZHANG Yihuan;CHEN Ying;MA Zhangfang;ZHANG Ping(Medical Department,Belting Tongren Hospital,Capital Medical University,Beijing 100730,P.R.China;Beijing Tongren Hospital,Capital Medical University,Beijing 100730,P.R.China;HospitaI Reform Office,Beijing Tongren Hospital,CapitaI Medical University,Beijing 100730,P.R.China;Ambulatory Operation Centre,Beijing Tongren Hospital,CapitaI Medical University,Beijing 100730,P.R.China;Analysis Department,Beifing Tongren Hospital,Capital Medical University,Beijing 100730,P.R.China)
出处
《华西医学》
CAS
2019年第2期122-126,共5页
West China Medical Journal
关键词
日间手术
同质化
管理模式
Ambulatory surgery
Homogeneity
Management mode
