老年患者日间手术全程质量管理模式研究  

The Whole Process Quality Management Mode of Ambulatory Surgery for Elderly Patients

作　　者：邹妮[1] 王丹[1] 傅晟静 缪传文[1] 朱春龙 黄陈[1] 钟力炜 ZOU Ni;WANG Dan;FU Shengjing(The First People's Hospital, Shanghai Jiaotong University, Shanghai,201620, China)

机构地区：[1]上海交通大学附属第一人民医院,上海201620 [2]上海中医药大学附属市中医医院,上海200071

出　　处：《中国卫生质量管理》2022年第1期33-36,共4页Chinese Health Quality Management

基　　金：国家自然科学基金委员会重点项目——医疗空间资源及关键装备高效能服务模式与机制研究(项目批准号:71931008);上海市卫健委委级立项课题——老年患者日间手术安全管理策略研究(项目编号:201940036)。

摘　　要：目的探索老年患者日间手术全程质量管理模式。方法通过医院病历系统采集2015年-2020年应用老年患者日间手术全程质量管理模式前后患者信息,进行对比分析。结果老年患者应用日间手术全程质量管理模式后,≥65岁老年患者日间手术人数逐年上升,占比从13.52%上升至18.62%,差异有统计学意义(χ2=6.450,P=0.011);日间手术住院时间>5 d的比例从0.72%下降至0.50%,差异有统计学意义(χ2=338.088,P<0.001);不良事件发生率从3.77‰下降至1.56‰,差异有统计学意义(χ2=5.156,P=0.023),其中严重不良事件发生率从2.08‰下降至0.35‰,差异有统计学意义(χ2=7.019,P=0.008)。结论应用日间手术全程质量管理模式能够有效提高老年患者日间手术的安全性,值得借鉴与推广。Objective To explore the whole process quality management mode of ambulatory surgery for elderly patients.Methods Through the medical record system of the hospital,the patient information before and after the application of the whole process quality management mode of ambulatory surgery for elderly patients from 2015 to 2020 was collected for comparative analysis.Results After the application of the whole process quality management mode of ambulatory surgery in elderly patients,the number of patients aged≥65 years increased year by year,the proportion of patients increased from 13.52%to 18.62%,and the difference was statistically significant(χ2=6.450,P=0.011).The proportion of length of stay>5 days for ambulatory surgery decreased from 0.72%to 0.50%,and the difference was statistically significant(χ2=338.088,P<0.001).The incidence of adverse events decreased from 3.77‰to 1.56‰with statistical significance(χ2=5.156,P=0.023).The incidence of serious adverse events decreased from 2.08‰to 0.35‰,and the difference was statistically significant(χ2=7.019,P=0.008).Conclusion The whole process quality management mode of ambulatory surgery can effectively improve the safety of ambulatory surgery for elderly patients,which is worthy of reference and promotion.

关 键 词：日间手术 老年患者 全程质量管理模式 医疗质量 

分 类 号：R197.323[医药卫生—卫生事业管理]