PDF下载

[1]张静侯冷晨余松轩沈婷李莉珊.上海市级医院四级日间手术运行情况分析[J].中国卫生质量管理,2025,32(07):1-5.[doi:10.13912/j.cnki.chqm.2025.32.7.01]
　ZHANG Jing,HOU Lengchen,YU Songxuan.Analysis of the Operational Status of Grade IV Day Surgery in Municipal Hospitals in Shanghai[J].Chinese Health Quality Management,2025,32(07):1-5.[doi:10.13912/j.cnki.chqm.2025.32.7.01]

点击复制

上海市级医院四级日间手术运行情况分析

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 32 期数: 2025年07期页码: 1-5 栏目: 特别关注出版日期: 2025-07-15

Title:: Analysis of the Operational Status of Grade IV Day Surgery in Municipal Hospitals in Shanghai

作者:: 张静侯冷晨余松轩沈婷李莉珊; 上海市胸科医院/上海交通大学医学院附属胸科医院

Author(s):: ZHANG Jing; HOU Lengchen; YU Songxuan; Shanghai Chest Hospital,Shanghai Jiao Tong University School of Medicine

关键词:: 上海市; 市级医院; 四级手术; 日间手术; 医疗质量; 医疗安全

Keywords:: Shanghai; Municipal Hospitals; Grade IV Surgery; Day Surgery; Medical Quality; Medical Safety

分类号:: R197.3

DOI:: 10.13912/j.cnki.chqm.2025.32.7.01

文献标志码:: A

摘要:: 目的了解上海市级医院四级日间手术运行情况。方法基于上海市级医院医疗质量评价与促进平台，获取上海市级医院2022年-2023年四级日间手术相关数据，对开展例数、开展病种、占比情况、相关性指标等进行分析。结果上海市级医院2022年共开展四级日间手术6 168例，涉及898个术种；2023年共开展四级日间手术54 563例，涉及3 066个术种。费用性指标方面，2023年四级日间手术的经济性水平较2022年有所改善；效率性指标方面，2022年-2023年四级日间手术相关指标变化不大，基本上没有统计学意义；安全性指标方面，院内新发肺部感染率、手术患者并发症发生率、手术切口感染率均为零，0～7 d重返率、0～14 d重返率均有所下降，但住院患者抗菌药物使用率升高，且差异有统计学意义（P＜0.05）。结论上海市级医院四级日间手术的手术例数和手术术种有所增加，相关性指标有所改善。在保障医疗质量与安全的前提下，尚需通过规范化、精细化、同质化的管理，促进四级日间手术持续改进。

Abstract:: ObjectiveTo investigate the operational status of grade IV day surgery in municipal hospitals in Shanghai.MethodsBased on the Medical Quality Evaluation and Promotion Platform for municipal hospitals in Shanghai, relevant data on grade IV day surgery from 2022 to 2023 in municipal hospitals in Shanghai were obtained. The number of cases performed, the types of diseases treated, the proportion of cases, and relevant indicators were analyzed.ResultsIn 2022, a total of 6 168 cases of grade IV day surgery involving 898 surgery types were conducted in municipal hospitals in Shanghai, while in 2023, a total of 54 563 cases involving 3 066 surgery types were performed. In terms of cost-related indicators, the economic efficiency of grade IV day surgery improved in 2023 compared to 2022. In terms of efficiency-related indicators, there was little change in the relevant indicators of grade IV day surgery from 2022 to 2023, with no statistically significant differences observed. In terms of safety indicators, the incidence rates of new-onset pulmonary infections within the hospital, surgical complications, and surgical site infections were all zero. The readmission rates within 0 to 7 days and 0 to 14 days both decreased, but the utilization rate of antibacterial agents among inpatients increased, with statistical significance (P＜0.05). Conclusion The number of cases and the types of surgeries treated in grade IV day surgery in municipal hospitals in Shanghai have increased, with improvements in relevant indicators. While ensuring medical quality and safety, it is necessary to promote continuous improvement of grade IV day surgery through standardized, refined, and homogenized management.

参考文献/References:

［1］孙辉，王凯，朱宏，等.2016-2022年我国日间手术术式变化及对日间手术规范化发展的思考［J］.中国医院，2022，26（8）：10-13.［2］孙辉，明敏馨，马旭东.我国二、三级医疗机构日间手术发展现状及分析［J］.中国医院管理，2020，42（3）：48-51.［3］杨丽，赵蓉.加强上海市级医院日间手术规范化管理的实践与思考［J］.中国卫生质量管理，2018，25（4）：1-3.［4］成月佳，沈兵，李群，等.基于加速康复外科的市级医院日间手术评价指标体系研究［J］.华西医学，2023，38（2）：214-219.［5］侯冷晨，沈婷，何慧敏，等.基于大数据和标杆分析法的市级医院病种质量评价指标构建及应用［J］.中国卫生质量管理，2023，30（1）：4-7.［6］王毅豪，袁骏毅，戴锦杰.基于SERVQUAL模型的肺结节患者日间手术服务质量评价体系构建与应用［J］.中国卫生质量管理，2023，30（8）：46-50.［7］俞德梁，刘小南.我国日间手术政策文件的可视化分析［J］.中国卫生质量管理，2022，29（10）：31-34.［8］俞骏仁，沈婷，成月佳，等.上海市级医院日间手术运行评价与对策研究［J］.中国医院，2023，27（9）：43-46.

相似文献/References:

[1]刘登潘毅慧王丽萍.上海市基层社区家庭病床服务与利用情况调研[J].中国卫生质量管理,2019,26(02):1.[doi:10.13912/j.cnki.chqm.2019.26.2.01]
[2]张源周剑锋潘毅慧.上海市基层社区家庭病床管理模式SWOT分析[J].中国卫生质量管理,2019,26(02):4.[doi:10.13912/j.cnki.chqm.2019.26.2.02]
[3]何乔艾贺玲潘毅慧.上海市基层社区家庭病床患者病种构成分析[J].中国卫生质量管理,2019,26(02):7.[doi:10.13912/j.cnki.chqm.2019.26.2.03]
[4]潘毅慧刘登王丽萍.上海市基层社区家庭病床质控情况分析[J].中国卫生质量管理,2019,26(02):10.[doi:10.13912/j.cnki.chqm.2019.26.2.04]
[5]高妍丁燕刘登.上海市基层社区家庭病床工作量调查与分析[J].中国卫生质量管理,2019,26(02):13.[doi:10.13912/j.cnki.chqm.2019.26.2.05]
[6]潘毅慧刘登王丽萍.上海市基层社区家庭病床人力资源现状调查和分析[J].中国卫生质量管理,2019,26(02):16.[doi:10.13912/j.cnki.chqm.2019.26.2.06]
[7]狄春明刘正清潘毅慧.上海市基层社区家庭病床上门服务项目调查与分析[J].中国卫生质量管理,2019,26(02):19.[doi:10.13912/j.cnki.chqm.2019.26.2.07]
[8]刘瑜婕艾贺玲潘毅慧.上海市基层社区家庭病床中医药服务开展情况调查与分析[J].中国卫生质量管理,2019,26(02):22.[doi:10.13912/j.cnki.chqm.2019.26.2.08]
[9]王淼杨丽黄一敏顾炜君柳龚堡贾昊刘静徐国锋.上海市级医院儿童日间手术进展与思考[J].中国卫生质量管理,2021,28(03):1.[doi:10.13912/j.cnki.chqm.2021.28.3.01 ]
　WANG Miao,YANG Li,HUANG Yimin.Progress and Thinking on Management of Children's Ambulatory Surgery in Shanghai Municipal Hospitals[J].Chinese Health Quality Management,2021,28(07):1.[doi:10.13912/j.cnki.chqm.2021.28.3.01 ]
[10]李晶慧陈睦金广予.基于大数据的市级医院大型医用设备评价指标构建及应用[J].中国卫生质量管理,2023,30(01):12.[doi:10.13912/j.cnki.chqm.2023.30.1.04 ]
　LI Jinghui,CHEN Mu,JIN Guangyu.Construction and Application of Evaluation Indicators for Large-Scale Medical Equipment in Municipal Hospitals Based on Big Data[J].Chinese Health Quality Management,2023,30(07):12.[doi:10.13912/j.cnki.chqm.2023.30.1.04 ]

更新日期/Last Update: 2025-07-15