5520例日间手术的安全和质量评价  

Evaluation of Safety and Quality of 5 520 Cases in Day Surgery

作　　者：刘洋[1] 马洪升[1] 李志超[1] 王小成[1] 

机构地区：[1]四川大学华西医院日间服务中心,四川成都610041

出　　处：《中国普外基础与临床杂志》2015年第12期1477-1481,共5页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川省卫生厅科研课题项目(编号:130104)~~

摘　　要：目的 评价日间手术术后的安全和质量。方法 回顾性分析2014年3~12月期间我院行日间手术患者的临床病例资料,分析日间手术术后相关安全和质量。评价指标：术后并发症、死亡率、非计划再手术、延迟出院、非计划再住院、患者满意度等指标。结果 共收治5 520例日间手术患者,包括腹腔镜胆囊切除术、疝修补术、声带息肉切除术、乳腺包块微创切除术、大隐静脉曲张手术、胆道镜取石术、胃肠息肉切除术等。术后无失访、非计划再手术及死亡患者。日间手术后伤口疼痛率为39.95%（2 205/5 520）,术后恶心呕吐发生率为0.51%（28/5 520）,延迟出院率为0.62%（34/5 520）,非计划再住院率为0.49%（27/5 520）,患者满意度为98.99%（5 464/5 520）。结论 对于本研究中上述手术类型,日间手术模式是一种较安全、有效的模式。Objective To evaluate the safety and quality of patients in day surgery. Methods The clinical data of patients in day surgery from March to December 2014 in this hospital were collected. The incidence of complications, delayed discharge rate, rate of readmission to hospital, satisfaction, and so on, were analyzed. Results Of 5 520 patients were in day surgery, including laporoscopic cholecystectomy, hernia repair surgery, vocal cord polyps resection, breast minimally invasive surgery, varicose vein of lower limb, choledochoscopy, gastrointestinal polyposis, and so on. No patient was loss of follow-up, unplanned reoperation or death after day surgery. There were 39.95% （2 205/5 520） of wound pain and 0.51% （28/5 520） of postoperative nausea and vomiting in the complications. The delayed discharge rate was 0.62% （34/5 520）, the rate of unplanned readmission to hospital was 0.49% （27/5 520）, and the satisfaction rate was 98.99% （5 464/5 520）. Conclusion For the above surgery types in this study, the day surgery mode is safe and effective.

关 键 词：日间手术 医疗安全 医疗质量 并发症 再住院率 满意度 

分 类 号：R197.323[医药卫生—卫生事业管理]