眼科日间手术模式下的医疗质量与安全管理  

Medical Quality and Safety Management under the Daytime Surgery Mode in Ophthalmology

作　　者：陈丹丹 林悦燕 袁敏而[1] 郑玲玲[1] 黄晓燕[1] 林晓峰[1] CHEN Dan-dan;LIN Yue-yan;YUAN Min-er;ZHENG Lin-lin;HUANG Xiao-yan;LIN Xiao-feng(Zhongshan Ophthalmic Center,Sun Yat-Sen University,Guangzhou 510000,China)

机构地区：[1]中山大学中山眼科中心,广州市510000

出　　处：《现代医院管理》2023年第3期54-56,共3页Modern Hospital Management

摘　　要：目的探讨日间手术管理中的风险,并提出保障眼科日间手术质量与安全的管理措施。方法将中山大学中山眼科中心2015年1月至2020年12月日间和住院手术患者纳入研究,分析两组患者的医疗质量指标。结果日间手术组并发症发生率低于住院手术组(P<0.05);两组患者31 d内非计划再住院率总体无统计学差异(P>0.05);患者安全相关不良事件中,日间手术组发生患者错误0例,检查检验结果错误、运送中病情变化各1例,预警眼别错误6例,出院当天再住院率为0.003%,Ⅰ类切口手术部位感染率为0.008%,均维持在较低水平。结论建立日间手术准入制度,利用信息系统闭环管理,优化患者分流及衔接流程,落实术后延伸性护理等质量管理措施能降低日间手术运作的风险,提高医疗质量。Objective:To explore the risks in the management of daytime surgery,and put forward the management measures to ensure the quality and safety of the daytime ophthalmic surgery.Method:Patients undergoing daytime and inpatient surgery at Sun Yat-sen Eye Center of Sun Yat-sen University from January 2015 to December 2020 were included in the study to analyze the medical quality indexes of the two groups of patients.Result:The complication rate of daytime operation group was lower than that of inpatient operation group(P<0.05).There was no significant difference in the 31 d unplanned readmission rate between the two groups(P>0.05).Among the patients’safety-related adverse events,there were 0 patient errors in the daytime surgery group,1 patient error in examination results,1 patient change in condition during transportation,and 6 patients with early-warning eye errors.The re-hospitalization rate on the day of discharge was 0.003%,and the infection rate in the surgical site of Class I incision was 0.008%,all of which were maintained at a low level.Conclusion:Thus,the establishment of the access system of daytime surgery,the use of information system closed-loop management,the optimization of the flow of patient shunt and connection,the implementation of postoperative extended care and other quality management measures can reduce the risk of daytime surgery operation and improve the quality of medical treatment.

关 键 词：眼科 日间手术 医疗质量 安全管理 

分 类 号：R197[医药卫生—卫生事业管理]