Evaluation of Safety and Quality of 5 520 Cases in Day Surgery_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIUYang ,  MAHong-sheng , LIZhi-chao , WANGXiao-cheng

Department of Day Surgery Center, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China;

Corresponding?author：

MAHong-sheng, Email: mahongsheng63@163.com

Keywords：

Day surgery; Medical safety; Medical quality; Complications; Readmission rate; Satisfaction

DOI：

10.7507/1007-9424.20150385

Video：

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Objective To evaluate the safety and quality of patients in day surgery. Methods The clinical data of patients in day surgery from March to December 2014 in this hospital were collected. The incidence of complications, delayed discharge rate, rate of readmission to hospital, satisfaction, and so on, were analyzed. Results Of 5 520 patients were in day surgery, including laporoscopic cholecystectomy, hernia repair surgery, vocal cord polyps resection, breast minimally invasive surgery, varicose vein of lower limb, choledochoscopy, gastrointestinal polyposis, and so on. No patient was loss of follow-up, unplanned reoperation or death after day surgery. There were 39.95%(2 205/5 520) of wound pain and 0.51%(28/5 520) of postoperative nausea and vomiting in the complications. The delayed discharge rate was 0.62%(34/5 520), the rate of unplanned readmission to hospital was 0.49%(27/5 520), and the satisfaction rate was 98.99%(5 464/5 520). Conclusion For the above surgery types in this study, the day surgery mode is safe and effective.

Citation： LIUYang, MAHong-sheng, LIZhi-chao, WANGXiao-cheng. Evaluation of Safety and Quality of 5 520 Cases in Day Surgery. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(12): 1477-1481. doi: 10.7507/1007-9424.20150385 Copy

1.	稅章林, 石應康, 馬洪升, 等.日間手術定義、范疇在我國適用的探討.中國衛生事業管理, 2011, (12): 63-65.
2.	Nicoll JM. The surgery of infancy. BMJ, 1909: 753-756.
3.	白雪, 馬洪升, 羅利.中外日間手術發展對比研究及展望.中國醫院管理, 2014, 34(5): 35-37.
4.	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.
5.	Castoro C. Ambulatory surgery: Current status and future trends. East Centr Afric J Surg, 2006, 11(1): 67-68.
6.	Department of Health. Day surgery: Operational guide. 2002. www.gov.uk/dh.
7.	Abstract Book of 9th International Congress on Ambulatory Surgery. http://www.iaascongress2011.org.
8.	Coley KC, Williams BA, Dapos SV, et al. Retrospective evaluation of unanticipated admissions and readmissions after same day surgery and associated costs. J Clin Anesth, 2002, 14(5): 349-353.
9.	Chung F, Chan VW, Ong D. A post-anesthetic discharge scoring system for home readiness after ambulatory surgery. J Clin Anesth, 1995, 7(6): 500-506.
10.	梁銘會.醫院患者安全目標手冊.北京:科學技術文獻出版社, 2013: 12-13.
11.	Jarrett PE, Staniszewski A. The development of ambulatory surgery and future challenges. London: International Association for Ambulatory Surgery, 2006: 89-124.
12.	石強.小切口日間手術治療小兒腹股溝斜疝804例分析.中國實用醫藥, 2010, 5(31): 58-59.
13.	胡世雄, 黃侃, 王三明, 等. "腹股溝疝24 h出入院"治療模式臨床應用.中國實用外科雜志, 2012, 32(10): 851-852.
14.	李關平, 譚永瓊, 黃文霞.日間手術模式的實踐及經驗.華西醫學, 2011, 26(10): 1568-1570.
15.	稅章林, 石應康, 馬洪升, 等.日間手術診療模式的實踐與本土化的思考.中國醫院, 2012, 16(4): 38-40.
16.	International Association for Ambulatory Surgery(IAAS). Ambulatory Surgery Handbook. http://www.iaas-med.com/files/2013/Day_Surgery_Manual.pdf , 2013.
17.	馬洪升, 余偉萍, 馬慶鑫, 等.日間手術醫療安全和病人感知調查與分析.中國醫院管理, 2013, 33(2): 38-39.
18.	劉素珍, 李繼平, 郭晶, 等.日間手術患者延伸服務模式構建與實踐.中國護理管理, 2012, 12(9): 5-7.
19.	Apfel CC, Roewer N. Risk assessment of postoperative nausea and vomiting. Int Anesthesiol Clin, 2003, 41(4): 13-32.
20.	Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perio-perative care in elective colonic surgery: Enhanced Recovery After Surgery(ERAS) Society recommendations. World J Surg, 2013, 37(2): 259-284.
21.	Younis J, Salerno G, Fanto D, et al. Focused preoperative patient stoma education, prior to ileostomy formation after anterior resec-tion, contributes to a reduction in delayed discharge within the enh-anced recovery programme. Int J Colorectal Dis, 2012, 27(1): 43-47.
22.	徐海英, 沈偉.擇期手術患者縮短術前禁食禁飲時間的研究.護士進修雜志, 2010, 25(2): 109-111.
23.	秦薇.擇期手術患者術前禁食禁飲時間的研究進展.中華護理雜志, 2014, 49(1): 76-78.
24.	Akcaboy EY, Akcaboy ZN, Gogus N. Comparison of paravertebral block versus fast-track general anesthesia via laryngeal mask airway in outpatient inguinal herniorrhaphy. J Anesth, 2010, 24(5): 687-693.
25.	Fredman B, Sheffer O, Zohar E, et al. Fast-track eligibility of geria-tric patients undergoing short urologic surgery procedures. Anesth Analg, 2002, 94(3): 560-564.
26.	Baldini A, Golfier F, Mouloud K, et al. Day case laparoscopic neph-rectomy with vaginal extraction: initial experience. Urology, 2014, 84(6): 1525-1528.
27.	Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perio-perative care in elective colonic surgery: Enhanced Recovery After Surgery(ERAS) Society recommendations. Clin Nutr, 2012, 31(6): 783-800.
28.	李志超, 王煜, 王小成, 等.基于快速康復外科理念的疼痛管理模式在日間腹腔鏡膽囊切除術的應用.華西醫學, 2015, 30(5): 804-807.
29.	Slim K, Vicaut E, Launay-Savary MV, et al. Updated systematic review and meta-analysis of randomized clinical trials on the role of mechanical bowel preparation before colorectal surgery. Ann Surg, 2013, 249(2): 203-209.

1. 稅章林, 石應康, 馬洪升, 等.日間手術定義、范疇在我國適用的探討.中國衛生事業管理, 2011, (12): 63-65.
2. Nicoll JM. The surgery of infancy. BMJ, 1909: 753-756.
3. 白雪, 馬洪升, 羅利.中外日間手術發展對比研究及展望.中國醫院管理, 2014, 34(5): 35-37.
4. 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.
5. Castoro C. Ambulatory surgery: Current status and future trends. East Centr Afric J Surg, 2006, 11(1): 67-68.
6. Department of Health. Day surgery: Operational guide. 2002. www.gov.uk/dh.
7. Abstract Book of 9th International Congress on Ambulatory Surgery. http://www.iaascongress2011.org.
8. Coley KC, Williams BA, Dapos SV, et al. Retrospective evaluation of unanticipated admissions and readmissions after same day surgery and associated costs. J Clin Anesth, 2002, 14(5): 349-353.
9. Chung F, Chan VW, Ong D. A post-anesthetic discharge scoring system for home readiness after ambulatory surgery. J Clin Anesth, 1995, 7(6): 500-506.
10. 梁銘會.醫院患者安全目標手冊.北京:科學技術文獻出版社, 2013: 12-13.
11. Jarrett PE, Staniszewski A. The development of ambulatory surgery and future challenges. London: International Association for Ambulatory Surgery, 2006: 89-124.
12. 石強.小切口日間手術治療小兒腹股溝斜疝804例分析.中國實用醫藥, 2010, 5(31): 58-59.
13. 胡世雄, 黃侃, 王三明, 等. "腹股溝疝24 h出入院"治療模式臨床應用.中國實用外科雜志, 2012, 32(10): 851-852.
14. 李關平, 譚永瓊, 黃文霞.日間手術模式的實踐及經驗.華西醫學, 2011, 26(10): 1568-1570.
15. 稅章林, 石應康, 馬洪升, 等.日間手術診療模式的實踐與本土化的思考.中國醫院, 2012, 16(4): 38-40.
16. International Association for Ambulatory Surgery(IAAS). Ambulatory Surgery Handbook. http://www.iaas-med.com/files/2013/Day_Surgery_Manual.pdf , 2013.
17. 馬洪升, 余偉萍, 馬慶鑫, 等.日間手術醫療安全和病人感知調查與分析.中國醫院管理, 2013, 33(2): 38-39.
18. 劉素珍, 李繼平, 郭晶, 等.日間手術患者延伸服務模式構建與實踐.中國護理管理, 2012, 12(9): 5-7.
19. Apfel CC, Roewer N. Risk assessment of postoperative nausea and vomiting. Int Anesthesiol Clin, 2003, 41(4): 13-32.
20. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perio-perative care in elective colonic surgery: Enhanced Recovery After Surgery(ERAS) Society recommendations. World J Surg, 2013, 37(2): 259-284.
21. Younis J, Salerno G, Fanto D, et al. Focused preoperative patient stoma education, prior to ileostomy formation after anterior resec-tion, contributes to a reduction in delayed discharge within the enh-anced recovery programme. Int J Colorectal Dis, 2012, 27(1): 43-47.
22. 徐海英, 沈偉.擇期手術患者縮短術前禁食禁飲時間的研究.護士進修雜志, 2010, 25(2): 109-111.
23. 秦薇.擇期手術患者術前禁食禁飲時間的研究進展.中華護理雜志, 2014, 49(1): 76-78.
24. Akcaboy EY, Akcaboy ZN, Gogus N. Comparison of paravertebral block versus fast-track general anesthesia via laryngeal mask airway in outpatient inguinal herniorrhaphy. J Anesth, 2010, 24(5): 687-693.
25. Fredman B, Sheffer O, Zohar E, et al. Fast-track eligibility of geria-tric patients undergoing short urologic surgery procedures. Anesth Analg, 2002, 94(3): 560-564.
26. Baldini A, Golfier F, Mouloud K, et al. Day case laparoscopic neph-rectomy with vaginal extraction: initial experience. Urology, 2014, 84(6): 1525-1528.
27. Gustafsson UO, Scott MJ, Schwenk W, et al. Guidelines for perio-perative care in elective colonic surgery: Enhanced Recovery After Surgery(ERAS) Society recommendations. Clin Nutr, 2012, 31(6): 783-800.
28. 李志超, 王煜, 王小成, 等.基于快速康復外科理念的疼痛管理模式在日間腹腔鏡膽囊切除術的應用.華西醫學, 2015, 30(5): 804-807.
29. Slim K, Vicaut E, Launay-Savary MV, et al. Updated systematic review and meta-analysis of randomized clinical trials on the role of mechanical bowel preparation before colorectal surgery. Ann Surg, 2013, 249(2): 203-209.

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Evaluation of Safety and Quality of 5 520 Cases in Day Surgery

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