Application Research of PDCA Cycle Method in Increasing the Proportion of Ambulatory Surgery
Objective To explore the application effect of plan-do-check-act (PDCA) circulation method in improving the proportion of ambulatory surgery. Methods PDCA activities were carried out from January to November 2019. Based on the baseline survey,the number of ambulatory surgery carried out in Affiliated Hospital of Jining Medical University from January to March 2019 was counted. In view of the low proportion of ambulatory surgery,through the analysis of the reasons,the activity objectives were set and the countermeasures were formulated. The countermeasures were implemented from April to August in 2019 and the effects were confirmed. The effective countermeasures were standardized and continuously implemented from September to November in 2019. The proportion of ambulatory surgery from January to March in 2019 (before improvement) was compared with that from September to November in 2019 (after improvement). Results After PDCA activity,the proportion of ambulatory surgery increased from 8.50％ to 21.50％ after improvement,and the difference was statistically significant (P<0.001). The duration of hospital stay in day surgery patients was shorter than that in non-day surgery patients,and the average cost,average drug cost,average antibiotic drug cost,drug proportion and antibiotic cost ratio were lower than those in non-day surgery patients (P<0.001). Taking laparoscopic cholecystectomy as the object of observation,the hospital stay of day surgery patients was shorter than that of non-day surgery,and the average cost,average drug cost,average antibiotic drug cost,drug proportion and antibiotic cost ratio were lower than those of non-day surgery (P<0.001). Conclusion PDCA cycle method can significantly increase the proportion of ambulatory surgery,while the ambulatory surgery mode can shorten the length of hospital stay,improve patient satisfaction,reduce economic costs,and has significant social benefits.
PDCAambulatory surgeryproportion of ambulatory surgeryhospital stayspatient satisfactioneconomic cost
万方数据
维普
