首页|优化乳腺外科日间手术流程对平均住院时间的影响

优化乳腺外科日间手术流程对平均住院时间的影响

Optimization of breast surgery day surgery process and its impact on average length of stay

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目的 了解乳腺外科开展日间手术后我院乳腺外科平均住院日情况,分析影响乳腺外科平均住院日的因素并提出改进建议.方法 回顾性分析2021年1月—2022年12月广州市第一人民医院乳腺外科开展日间手术后患者入院并施行手术的临床数据.对比分析2016年1月—2017年12月与2021年1月—2022年12月入院病人的临床数据进行横截面比较,分析影响乳腺外科平均住院日的因素,并提出管理建议.结果 2021年入院2 787 人/次,2022年入院2 645人/次,2021年平均住院日2.8天,2022年平均住院日2.85天.2021年手术次数1 497台,2022年1 078台.2016年至2017年入院人数分别为:1 233人和1 408人,平均住院分别为5.6天和4.7天,手术次数分别为580台和625台.实施日间手术管理制度后,入院人数、床位使用率和手术次数逐渐增加,且平均住院日逐渐缩短.结论 优化乳腺外科日间手术流程可缩短平均住院时间.建议从加强日间手术流程管理、提高手术技能等以提高医疗效率,缩短患者平均住院日.
Objective To understand the average length of stay in the Breast Surgery Department of our hospital after conducting day surgery,analyze the factors affecting the average length of stay in the Breast Surgery Department,and propose im-provement suggestions.Methods A retrospective analysis of clinical data of patients admitted to the Breast Surgery Department of the First People's Hospital of Guangzhou from January 2021 to December 2022 after undergoing day surgery was conducted.Clinical data of patients admitted from January 2016 to December 2017 and January 2021 to December 2022 were compared and analyzed,and factors affecting the average length of stay in the Breast Surgery Department were analyzed,with management rec-ommendations proposed.Results In 2021,there were 2,787 admissions,and in 2022,there were 2,645 admissions.The aver-age length of stay in 2021 was 2.8 days,and in 2022,it was 2.85 days.The number of surgeries performed in 2021 was 1,497,and in 2022,it was 1,078.The number of admissions in 2016 and 2017 was 1,233 and 1,408,respectively,with average lengths of stay of 5.6 days and 4.7 days,and the number of surgeries was 580 and 625,respectively.After the implementation of the day surgery management system,the number of admissions,bed utilization rate,and number of surgeries gradually increased,while the average length of stay gradually decreased.Conclusion Optimizing the process of day surgery in the Breast Surgery Department can shorten the average length of stay.It is suggested to strengthen the management of day surgery processes,improve surgical skills,and enhance medical efficiency to reduce the average length of stay for patients.

Day surgeryBreast surgeryInpatient managementAverage length of hospital stay

黄迪、黄子圣、叶志东、李佩霖、胡惠琼、胡亚楠、肖莹露、赵俐、古维立

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广州市第一人民医院 广东广州 510180

广州消化疾病中心 广东广州 510180

华南理工大学附属第二医院 广东广州 510180

日间手术 乳腺外科 住院管理 平均住院日

贵州省中医药民族医药科技研究项目广州市医药卫生科技一般引导项目广州市医药卫生科技一般引导项目广州市医药卫生科技一般引导项目广州市中医药科技项目广东省医学科研项目广州市第一人民医院红棉项目广东省中医药局科研项目广州市科技局项目

QZYY-2020-01320171A01102520171A01124820181A01100220172A011004A2020624M201900320231254202201010075

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(4)
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