Cause analysis and countermeasure discussion of day surgery patients missing appointments_West China Medical Journal

Authors：

LI Xu , NI Xiaoying , HUANG Peipei , WEI Zheng ,  YE Xiaoyun

Customer Service Center, the Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P. R. China;

Corresponding?author：

YE Xiaoyun, Email: khfwzx@zju.edu.cn

Keywords：

Day surgery; cancellation rate; countermeasure application

DOI：

10.7507/1002-0179.202211196

Video：

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Objective To analyze the causes of day surgery patients missing appointments, and discuss the countermeasures. Methods We selected the patients who had missed appointments for day surgery in the Second Affiliated Hospital Zhejiang University School of Medicine between January 2017 and June 2022. According to the implementation time of the measures, we divided the patients into two groups: pre-intervention (between January 2017 and June 2020) and post-intervention (between July 2020 and June 2022), to analyze the causes of patients’ cancellation, compare the change of patients’ cancellation rate before and after the implementation of measures, and explore the effectiveness of implementation measures. Results A total of 17 392 patients were included, and the total number of day surgery patients was 148 720 during the same period. The total cancellation rate was 11.69% (17 392/148 720). The cancellation rate in the post-intervention was lower than that in the pre-intervention [9.70% (7 935/81 775) vs. 14.13% (9 457/66 945), odds ratio was 0.695, 95% confidence interval (0.674, 0.717), P<0.001]. There were 13 common reasons for cancellation, of which “outpatient treatment, not hospitalization” was the most common reason. Conclusion Through the coordination of various departments, actively optimizing the preoperative evaluation of patients, updating the appointment process, strengthening effective communication and implementing the implementation of efficient medical treatment, the cancellation rate of day surgery can be reduced, which has certain reference significance to improving the management level of the hospital and the ability to serve patients.

Citation： LI Xu, NI Xiaoying, HUANG Peipei, WEI Zheng, YE Xiaoyun. Cause analysis and countermeasure discussion of day surgery patients missing appointments. West China Medical Journal, 2023, 38(2): 210-213. doi: 10.7507/1002-0179.202211196 Copy

1.	楊玲, 黃小龍, 羅旭, 等. 國內外日間手術發展現狀與思考. 中國衛生質量管理, 2020, 27(4): 33-37.
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10.	楊媛, 袁玉仙, 葉小云. 入院準備中心“一站式服務”的實踐. 中國衛生產業, 2021, 18(16): 190-193,198.
11.	程純, 徐曉波, 楊柳, 等. 691 例住院患者擇期手術取消原因分析和對策建議. 中國病案, 2017, 18(4): 35-39.
12.	陳啟岳, 沈亮, 陳燦達, 等. 大型綜合醫院入院服務中心的信息化建設實踐與應用創新. 中國數字醫學, 2021, 16(2): 89-92.
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14.	殷宇, 戴燕. 日間手術病房預約處爽約原因分析及對策. 華西醫學, 2016, 31(4): 624-625.
15.	石天曉, 顧瀟怡, 于海峰, 等. 國內日間手術實踐成效與推廣建議. 現代醫院管理, 2017, 15(6): 46-48.

1. 楊玲, 黃小龍, 羅旭, 等. 國內外日間手術發展現狀與思考. 中國衛生質量管理, 2020, 27(4): 33-37.
2. 俞德梁, 寧鵬濤, 王娟, 等. 關于日間手術定義與首批推薦適宜手術的思考. 醫學與哲學(B), 2015, 36(12): 5-7, 14.
3. 馬洪升, 戴燕. 日間手術治療模式國內外發展簡述. 中國醫院管理, 2012, 32(1): 47-48.
4. 許丹, 程燦, 肖思瑜, 等. 集中預約模式在眼科日間手術患者的應用. 護理學雜志, 2017, 32(24): 25-27.
5. 傅文靜, 李曉玲. 日間手術臨時取消的現狀及其干預的研究進展. 廣西醫學, 2020, 42(18): 2429-2432, 2462.
6. 張玲玲, 張林虹, 苗戰軍, 等. 持續護理質量改善在降低日間手術病房床位爽約率的應用. 中國臨床護理, 2020, 12(1): 53-55.
7. 葉小云, 章莉麗. 大型綜合性醫院住院床位失約情況分析. 中華醫院管理雜志, 2016, 32(8): 589-591.
8. 周燕玲, 蕭锘, 陳會. 一站式住院服務中心信息化管理系統建設—以江西省某三甲醫院為例. 現代信息科技, 2021, 5(20): 153-156.
9. 張鳳娟, 祁建明, 陳鳴宇, 等. 預住院管理模式的信息化探索與實踐. 中國數字醫學, 2020, 15(12): 55-58.
10. 楊媛, 袁玉仙, 葉小云. 入院準備中心“一站式服務”的實踐. 中國衛生產業, 2021, 18(16): 190-193,198.
11. 程純, 徐曉波, 楊柳, 等. 691 例住院患者擇期手術取消原因分析和對策建議. 中國病案, 2017, 18(4): 35-39.
12. 陳啟岳, 沈亮, 陳燦達, 等. 大型綜合醫院入院服務中心的信息化建設實踐與應用創新. 中國數字醫學, 2021, 16(2): 89-92.
13. Kaddoum R, Fadlallah R, Hitti E, et al. Causes of cancellationson the day of surgery at a tertiary teaching hospital. BMC Health Serv Res, 2016, 16(1): 259.
14. 殷宇, 戴燕. 日間手術病房預約處爽約原因分析及對策. 華西醫學, 2016, 31(4): 624-625.
15. 石天曉, 顧瀟怡, 于海峰, 等. 國內日間手術實踐成效與推廣建議. 現代醫院管理, 2017, 15(6): 46-48.

West China Medical Journal

Cause analysis and countermeasure discussion of day surgery patients missing appointments

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