四川大学华西医院日间手术质量安全管理精髓  

Core principles of quality and safety management for day surgery at West China Hospital of Sichuan University

作　　者：蒋丽莎[1] 马洪升[1,2] JIANG Lisha;MA Hongsheng(Day Surgery Center,General Practice Medical Center,West China Hospital,Sichuan University,Chengdu,Sichuan 610041,P.R.China;Day Surgery Center,West China Tianfu Hospital,Sichuan University,Chengdu,Sichuan 610213,P.R.China)

机构地区：[1]四川大学华西医院全科医学中心日间手术中心,成都610041 [2]四川大学华西天府医院日间服务中心,成都610213

出　　处：《华西医学》2025年第2期173-177,共5页West China Medical Journal

基　　金：国家自然科学基金(72104161);四川省自然科学基金(2023NSFSC1048)。

摘　　要：2022年国家卫生健康委办公厅印发《医疗机构日间医疗质量管理暂行规定》,对医疗机构开展日间手术进行了严格的规范要求,体现出医疗质量安全管理是日间手术管理精髓,是日间手术可持续发展的核心基础,它直接决定了日间手术在我国未来发展中的生命周期和持续活力。四川大学华西医院日间手术取得的显著成绩,得益于一整套科学、规范的基于临床路径的质量安全管理措施。这些管理措施不仅针对手术流程中的每一个环节进行了精细化管理,还通过优化术前、术中和术后的各项操作规范,有效保障了患者的医疗安全与治疗效果。该文分享了四川大学华西医院“精于院前、慎于院中、善于院后”的质量安全管理理念,供同行借鉴分享。In 2022,the General Office of the National Health Commission issued Interim Regulations on Quality Management of Day Care in Medical Institutions,which strictly regulated the requirements for medical institutions to carry out day surgery,reflecting that medical quality and safety management is the core principle of day surgery management.Medical quality and safety management is the core foundation of the sustainable development of day surgery,which directly determines the life cycle and continuous vitality of day surgery in the future development of our country.The remarkable achievements of day surgery at West China Hospital of Sichuan University are attributed to a set of scientific and standardized quality and safety management measures based on clinical pathways.These measures not only provide fine management for every link in the surgical process,but also effectively guarantee the medical safety and treatment effect of patients by optimizing the operation norms before,during and after the operation.This article shares the quality and safety management concept of West China Hospital of Sichuan University,which is“proficient in pre-hospital care,cautious in hospital care,skilled in post-hospital care”,for the peers to learn from and share.

关 键 词：日间手术 医疗质量 安全管理 

分 类 号：R197.323[医药卫生—卫生事业管理]