日间手术模式下值班和交接班制度的分析与思考  

Analysis and Exploration of Duty and Shift Change System under the Ambulatory Surgery Mode

作　　者：俞德梁 刘小南 YU Deliang;LIU Xiaonan(First Affiliated Hospital of Air Force Military Medical University,Xi'an,Shaanxi,710032,China;不详)

机构地区：[1]空军军医大学第一附属医院,陕西西安710032

出　　处：《中国卫生质量管理》2024年第8期34-37,共4页Chinese Health Quality Management

基　　金：陕西省软科学研究计划(编号:2022KRM184)。

摘　　要：值班和交接班制度是医疗质量安全核心制度之一,是实现围手术期质量与安全的核心制度。针对日间手术值班和交接班制度存在问题,结合日间手术开展经验,提出界定日间手术诊疗过程起止范围,探索建立日间手术院外阶段的值班和交接班制度,确保相关医务人员均参与值班和交接班,优化日间手术模式下值班和交接班制度的实质内涵及实现形式,完善日间手术值班和交接班病历记录形式与内容等建议,以保障日间手术医疗质量与安全。Duty and shift change system is one of the core systems of medical quality and safety,and it is the core system guarantee of perioperative quality and safety.In view of the existing problems in the duty and shift change system of day surgery,combined with the experience of ambulatory surgery,this paper proposes to define the starting and ending range of the diagnosis and treatment process of ambulatory surgery,explore the establishment of the duty and shift change system of ambulatory surgery outside the hospital stage,ensure that relevant medical personnel participate in the duty and shift,optimize the substantive connotation and realization form of the duty and shift change system under the day surgery mode,and improve the form and content of medical records of ambulatory surgery on duty and shift,so as to ensure the medical quality and safety of ambulatory surgery.

关 键 词：医疗质量安全核心制度 值班和交接班制度 日间手术 医疗质量 患者安全 

分 类 号：R197.32[医药卫生—卫生事业管理]