基于JCI理念的日间手术管理体系构建  

Establishment of day surgery management system based on JCI concept

作　　者：马戈[1] 张秀来[1] MA Ge;ZHENG Xiulai(Medical Department,the Second Affiliated Hospital of Zhejiang University School of Medicine,Hangzhou,Zhejiang 310009,P.R.China)

机构地区：[1]浙江大学医学院附属第二医院医务部,杭州310009

出　　处：《华西医学》2019年第2期184-187,共4页West China Medical Journal

基　　金：浙江省医药卫生科技计划项目(2017KY368)

摘　　要：目的在美国医疗机构评审国际联合委员会(Joint Commission International,JCI)标准下构建完善的日间手术管理体系。方法根据JCI标准中的条文要求,浙江大学医学院附属第二医院2013年起通过建立日间手术管理组织架构、规范日间手术运作流程、制定标准作业规章制度、明确工作职责、加强院科两级医疗质量指标监管、持续绩效导向等措施,构建完善的管理体系。结果该院日间手术量逐渐上升,占择期手术比例已达到25%。期间未发生患者死亡,且各项指标一直维持在低位:患者预约取消率为0.9%,中转住院率为0.23%,非计划再次手术率为0.012%,术后严重并发症(出血、伤口裂开等)发生率为0.03%。结论 JCI标准下日间手术管理体系的构建能够规范日间手术的开展,确保患者安全。Objective To establish a sound management system for day surgery under the Joint Commission International(JCI) standard. Methods From 2013, according to the provisions of JCI standard, a sound management system was established in the Second Affiliated Hospital of Zhejiang University School of Medicine by establishing the organizational structure of day surgery management, standardizing the operation process of day surgery, formulating standard operating rules and regulations, clarifying work responsibilities, strengthening the supervision of medical quality indicators at both hospital and department levels, and providing guidance for continuous performance. Results The number of day operations in the hospital increased gradually, accounting for 25% of elective operations. During this period, there was no death of the patient, and these indexes remained low: the reservation cancellation rate of the patient was 0.9%, the transfer hospitalization rate was 0.23%, the unplanned reoperation rate was 0.012%, and the postoperative serious complications(bleeding, wound opening, etc.) was 0.03%. Conclusion The establishment of day surgery management system under the JCI standard can standardize the development of day surgery and ensure the safety of patients.

关 键 词：美国医疗机构评审国际联合委员会 日间手术 管理体系 

分 类 号：R197.3[医药卫生—卫生事业管理]