Practice of applying quality control circle to improve the model of “hospital-community integrated service” of day surgery_West China Medical Journal

Authors：

JIA Hao , LUO Huajie , HU Xiaohong , WU Lingdi , ZHANG Jidong ,  WEN Daxiang

Medical Service Section I, Renji Hospital Affiliated to School of Medicine, Shanghai Jiaotong University, Shanghai 200127, P. R. China;

Corresponding author：

WEN Daxiang, Email: wendaxiang@renji.com

Keywords：

Day surgery; Quality control circle; Hospital-community integrated service

DOI：

10.7507/1002-0179.201703086

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To improve the model of hospital-community integrated service of day surgery through quality control circle (QCC). Methods To optimize the community follow-up management of day surgery patients, we used QCC between March and August 2015 to find out the real reasons for community follow-up problems in day surgery patients and developed and implemented corresponding countermeasures. Comparison of health education, postoperative follow-up of dressing changes, and doctor-patient satisfaction assessment before and after the implementation of the model of hospital-community integrated service of day surgery (September 2014-February 2015vs. September 2015-February 2016) was then performed. Results After QCC implementation, the average number of dressing changes in the hospital was reduced from 4.58±0.95 to 1.18±0.39 (t=181.194,P<0.001). The average number of dressing changes in the community increased from 1.42±0.52 to 4.32±0.88 (t=–146.245,P<0.001). The average number of health consultation increased from 0.85±0.38 to 6.39±1.20 (t=–177.096,P<0.001). The satisfaction assessment after QCC implementation among doctors, nurses and patients also significantly increased (P<0.01). Conclusion Applying QCC can improve the model of hospital-community integrated service of day surgery and have remarkable effects on postoperative rehabilitation and patients’ satisfaction.

Citation： JIA Hao, LUO Huajie, HU Xiaohong, WU Lingdi, ZHANG Jidong, WEN Daxiang. Practice of applying quality control circle to improve the model of “hospital-community integrated service” of day surgery. West China Medical Journal, 2017, 32(4): 483-487. doi: 10.7507/1002-0179.201703086 Copy

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13.	龚兴荣, 骆华杰, 贾昊, 等. 日间手术集中式与分散式管理模式的研究及实践. 中国医院, 2015, 1(8): 37-38.
14.	NHS Wales Information Service. E-referrals in half of Wale’s GP surgeries, 2011 [2017-03-05]. .
15.	Lemos P, Pinto A, Morais G. Patient satisfaction following day surgery. J Clin Anesth, 2009, 21(3): 200-205.
16.	刘庭芳. 品管圈解惑. 中国医院院长, 2013(7): 55.
17.	刘廷芳, 刘勇. 中国品管圈操作手册. 北京: 北京人民出版社, 2011: 1-3.
18.	梁铭会, 刘庭芳, 董四平. 品管圈在医疗质量持续改进中的应用研究. 中国医院管理, 2012, 32(2): 37-39.

1. 刘庭芳. 我国医院品管圈活动综述. 中国医院, 2015, 19(7): 1-3.
2. 白雪, 马洪升, 罗利. 中外日间手术发展对比研究及展望. 中国医院管理, 2014, 34(5): 35-37.
3. 郭晶, 刘素珍. 日间手术" 医院-社区延伸康复模式”的研究现状. 中国全科医学, 2013, 16(8): 943-945.
4. 马志强, 唐青, 朱永跃, 等. 我国社区卫生服务研究现状——基于 CNKI 的文献计量分析. 中国卫生事业管理, 2012, 29(3): 173-176.
5. 张继东, 闻大翔, 范关荣. 日间手术对缩短平均住院日的影响. 中国医院管理, 2009, 29(11): 27-28.
6. International Association for Ambulatory Surgery (IAAS). Discharge criteria following day surgery. .
7. 孟丽莉, 张继东, 朱华, 等. 运用 IT 设计医院日间管理新模式的难点与对策. 中国数字医学, 2014, 9(6): 87-89.
8. 丁粉华, 孟丽莉, 耿茜, 等. 日间手术中心信息系统的设计和应用. 中国数字医学, 2015, 1(2): 51-53, 86.
9. Mitchell M. Literature review: home recovery following day surgery. Ambul Surg, 2013, 19(1): 13-27.
10. Santos R, Gomes A, Almeidaa M, et al. Impact of ambulatory surgery in the daily life of patients and their care-givers. Ambul Surg, 2012, 18(2): 39-41.
11. Castoro C, Bertinato L, Baccaglini U,et al. Day surgery: making it happen. Copenhagen: WHO Regional Office for Europe, 2007.
12. 郑佳, 伍冀湘, 王宁利, 等. 我院开展日间手术的效果评价与分析. 中国医院管理, 2014, 34(8): 27-29.
13. 龚兴荣, 骆华杰, 贾昊, 等. 日间手术集中式与分散式管理模式的研究及实践. 中国医院, 2015, 1(8): 37-38.
14. NHS Wales Information Service. E-referrals in half of Wale’s GP surgeries, 2011 [2017-03-05]. .
15. Lemos P, Pinto A, Morais G. Patient satisfaction following day surgery. J Clin Anesth, 2009, 21(3): 200-205.
16. 刘庭芳. 品管圈解惑. 中国医院院长, 2013(7): 55.
17. 刘廷芳, 刘勇. 中国品管圈操作手册. 北京: 北京人民出版社, 2011: 1-3.
18. 梁铭会, 刘庭芳, 董四平. 品管圈在医疗质量持续改进中的应用研究. 中国医院管理, 2012, 32(2): 37-39.

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Practice of applying quality control circle to improve the model of “hospital-community integrated service” of day surgery

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