摘要
目的探讨日间手术病房实行全流程闭环管理对医疗质量和安全的影响。方法医院日间手术病房于2022年1月开始实施全流程闭环管理,实施前后为同一组医护人员提供服务。选取实施前2021年1月一2021年12月(n=154)和实施后2022年1月一2022年12月(n=172)本院收治的日间手术患者。比较实施前后各流程节点医疗质量相关数据、围手术期管理评分、患者满意度评分和不良事件发生率。结果实施全流程闭环管理后,各流程节点医疗质量相关数据优于实施前,围手术期管理评分、患者满意度评分均高于实施前,不良事件发生率低于实施前(p<0.05)。结论全流程闭环管理可有效提高日间手术病房医疗质量,确保手术安全性,推进日间手术的高质量健康可持续发展。
Objective To explore the fect of whole process closed-loop management on medical quality and safety in day surgery wards.Methods The day surgery ward of the hospital began to implement the whole process closed-loop management from January 2022,and the same group of medical staff provided services before and after the implementation.Patients with day surgery admitted to our hospital from January 2021 to December 2021(n=154)before the implementation and from January 2022 to December 2022(n=172)after the implementation were selected.The data related to medical quality,perioperative management score,patient satisfaction score and incidence of adverse events at each process node were compared before and after implementation.Results After the whole process closed-loop management,the data related to medical quality at each process node were better than before.The perioperative management score and patient satisfaction score were higher than those before implementation,and the incidence of adverse events was lower than that before implementation(p<0.05).Conclusion The whole process closed-loop management can effectively improve the medical quality of day surgery ward,ensure the safety of surgery,and promote the high-quality,healthy and sustainable development of day surgery.
作者
陈兰萍
胡卫萍
李旦
钟秀平
CHEN Lan-ping;HU Wei-ping;LI Dan;ZHONG Xiu-ping(Affiliated Hospital of Shaoxing University)
出处
《医院管理论坛》
2024年第2期52-55,83,共5页
Hospital Management Forum
关键词
全流程闭环管理
日间手术
医疗质量
手术安全
Whole process closed-loop management
Day surgery
Medicalquality
Surgical safety
