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[1]俞德梁刘小南.日间手术模式下值班和交接班制度的分析与思考[J].中国卫生质量管理,2024,31(08):34-37.[doi:10.13912/j.cnki.chqm.2024.31.8.07]
　YU Deliang,LIU Xiaonan.Analysis and Exploration of Duty and Shift Change System under the Ambulatory Surgery Mode[J].Chinese Health Quality Management,2024,31(08):34-37.[doi:10.13912/j.cnki.chqm.2024.31.8.07]

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日间手术模式下值班和交接班制度的分析与思考

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第31卷期数: 2024年08期页码: 34-37 栏目: 医疗质量出版日期: 2024-08-15

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

作者:: 俞德梁刘小南; 空军军医大学第一附属医院

Author(s):: YU Deliang; LIU Xiaonan; First Affiliated Hospital of Air Force Military Medical University

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

Keywords:: Core System of Medical Quality and Safety; Duty and Shift Change System; Ambulatory Surgery; Medical Quality; Patient Safety

分类号:: R197.32

DOI:: 10.13912/j.cnki.chqm.2024.31.8.07

文献标志码:: B

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。

Abstract:: 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.

参考文献/References:

［1］应娇茜,王晨曦.值班和交接班制度问题分析与改进建议［J］.中国卫生质量管理,2021,28(2):9-11,15.［2］MANSER T,FOSTER S.Effective handover communication: an overview of research and improvement efforts［J］.Best Pract Res Clin Anaesthesiol, 2011,25(2): 181-191.［3］Joint Commission Center.Joint Commission Center for transforming healthcare releases targeted solutions tool for hand-off communications［J］.Jt Comm Perspect, 2012,32(8): 1,3.［4］国家卫生健康委.关于印发医疗质量安全核心制度要点的通知：国卫医发〔2018〕8号［EB/OL］.（2018-04-21）［2024-02-04］.http://www.nhc.gov.cn/yzygj/s3585/201804/aeafaa4fab304bdd88a651dab5 a4553d.shtml.［5］国家卫生计生委.医疗质量管理办法：国家卫生和计划生育委员会令（第10号）［EB/OL］.（2016-09-25）［2024-03-21］.http://www.nhc.gov.cn/fzs/s3576/ 201808/2087f3867f6e4645b4564ea567458b 65.shtml.［6］孙辉,高嗣法,孙佳璐,等.《医疗机构日间医疗质量管理暂行规定》的解读［J］. 中国卫生质量管理, 2023,30(5): 30-33.［7］张雨晨,戴燕,宋应寒.基于Web of Science的日间手术可视化分析［J］.中国卫生质量管理,2021,28(4):22-24,28.［8］杨玲,黄小龙,罗旭,等.国内外日间手术发展现状与思考［J］.中国卫生质量管理,2020,27(4):33-37.［9］俞德梁,刘小南,高博欣,等.医患助理助力提升围手术期管理质量［J］.中国卫生质量管理,2021,28(5): 34-35.［10］胡永军,谭郎敏,唐杨,等.高质量发展视域下基层医院医疗质量安全核心制度过关实践探讨［J］.检验医学与临床,2023,20(16): 2460-2464.［11］俞德梁,刘小南.三级查房制度在围手术期管理中的实践与思考：以日间手术为例［J］.医学与哲学,2022,43(19): 64-68.［12］俞德梁,刘小南.日间手术模式下病历管理制度问题分析与思考［J］.中国卫生质量管理,2024,31(3):25-27,36.

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更新日期/Last Update: 2024-08-15