首页|基于五-三-三模式的日间手术精细化管理实践探析——以浙江大学医学院附属第一医院为例

基于五-三-三模式的日间手术精细化管理实践探析——以浙江大学医学院附属第一医院为例

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目的 探讨实施精细化管理模式对日间手术占择期手术比例的影响。方法 严格遵循顶层设计、系统谋划、关键要素、信息改造、数据监测等科学管理方法(五-三-三模式)实现日间手术安全开展、多方信息互通对称、入出衔接有序。同时,借助基于院前麻醉会诊提升日间手术及时性、安全性并持续数据监测。结果 2023年日间手术占比21。85%,较2021年上升7。14%,平均住院时间较下降5。62%,术前待床时间下降27。60%,助力医院国考排名上升至全国第二。结论 整体系统全面精细化管理举措,以五-三-三模式为核心可以保障日间手术开展的质量安全和效率。
Refined management practice in daytime surgery under the five-three-three management model:a case study of the first institute of Zhejiang university
Objective To explore the impact of implementing a refined management mode on the proportion of daytime surgery in elective surgery.Methods The"Five-Three-Three Management Model,including top-level design,system planning,key elements,information transformation,and data monitoring,was strictly followed to ensure the safety of daytime operations,efficient information exchange,and orderly coordination between patient admission and discharge.Pre-hospital anesthesia consul-tations were also introduced to enhance the timeliness and safety and maintain data monitoring of daytime surgeries.Results In 2023,the proportion of day surgeries was 21.85%,an increase of 7.14%compared to 2021,with an average hospitalization du-ration decrease of 5.62%,and a 27.60%reduction in preoperative waiting time for bed.These advancements contributed to the hospital's the hospital's national exam ranking rising to second in the country.Conclusion Comprehensive and systematic re-fined management measures,with the Five-Three-Three management model at the core,can ensure the quality,safety,and effi-ciency of day surgery operations.

High quality developmentPerformance evaluationRefined managementDay surgeryAdmission management

章晓莲、张露莎

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浙江大学医学院附属第一医院 浙江 杭州 310003

高质量发展 绩效考核 精细化管理 日间手术 入院管理

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(11)