[1]徐瑞,邓志梅,陈进军.梭形日间管理模式下儿童腺样体切除术日间手术的全流程质量管理[J].临床小儿外科杂志,2024,(10):929-934.[doi:10.3760/cma.j.cn101785-202407012-006]
　Xu Rui,Deng Zhimei,Chen Jinjun.Full process quality management of pediatric adenoidectomy day surgery under the "shuttle day management model"[J].Journal of Clinical Pediatric Surgery,2024,(10):929-934.[doi:10.3760/cma.j.cn101785-202407012-006]
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梭形日间管理模式下儿童腺样体切除术日间手术的全流程质量管理

《临床小儿外科杂志》[ISSN:1671-6353/CN:43-1380/R] 卷: 期数: 2024年10 页码: 929-934 栏目: 专题·日间手术在小儿外科的应用 出版日期: 2024-10-01
Title:
Full process quality management of pediatric adenoidectomy day surgery under the "shuttle day management model"
作者:
徐瑞1;  邓志梅2;  陈进军3
1. 深圳市儿童医院泌尿外科,深圳 518034;
2. 深圳市儿童医院日间手术中心,深圳 518034;
3. 深圳市儿童医院医务科,深圳 518034
Author(s):
Xu Rui1;  Deng Zhimei2;  Chen Jinjun3
1. Department of Urology, Shenzhen Children’s Hospital, Shenzhen 518034, China;
2. Day Surgery Center, Shenzhen Children’s Hospital, Shenzhen 518034, China;
3. Medical Services Section, Shenzhen Children’s Hospital, Shenzhen 518034, China
关键词:
日间手术; 腺样体切除; 质量管理; 围术期; 临床路径; 儿童
Keywords:
Day Surgery; Adenoidectomy; Quality Management; Perioperative Period; Clinical Pathway; Child
DOI:
10.3760/cma.j.cn101785-202407012-006
摘要:
日间手术模式是近年来在我国高速发展的一种诊疗体系, 它强调加速康复外科理念, 被广泛应用于儿童腺样体切除术等简单、创伤小的手术。在此基础上, 深圳市儿童医院探索出适合儿童专科医院的集中管理+集中与分散收治的梭形日间管理模式, 为儿童日间手术助力增效。医疗质量管理是日间手术安全的重要保障, 本文围绕儿童腺样体切除术日间手术的全流程质量管理进行阐述, 从医师及患儿准入、临床路径管理、术前评估、术中手术及麻醉管理、术后药物及并发症管理、严格出院标准、出院后随访等方面探讨了梭形日间管理模式在儿童专科医院日间手术中的应用, 旨在为儿童日间手术管理提供新思路, 做到高效、同质、灵活、安全的管理, 助力日间手术保质、高速发展。
Abstract:
Day surgery model is a rapidly developing healthcare system in China that emphasizes the concept of enhanced recovery after surgery and is widely used in simple, minimally invasive procedures such as pediatric adenoidectomy.Based on this model, Shenzhen Children’s Hospital has developed the "shuttle day management model", which combines centralized management with a blend of centralized and decentralized patient care, enhancing the efficiency of pediatric day surgeries.Quality management is essential for the safety of day surgery, and this paper elaborates on the full-process quality management of pediatric adenoidectomy day surgeries.It discussed the application of the "shuttle day management model" in pediatric specialized hospitals, covering areas such as physician and patient admission criteria, clinical pathway management, preoperative evaluation, intraoperative surgery and anaesthesia management, postoperative medication and complication management, strict discharge standards, and post-discharge follow-up.The aim is to provide new insights into the management of pediatric day surgeries, ensuring efficient, standardized, flexible, and safe management, thus contributing to the high-quality and rapid development of day surgery.

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备注/Memo

收稿日期:2024-7-5。
基金项目:小儿外重点专科项目深圳市医学重点学科(SZXK035)
通讯作者:陈进军,Email:cxhxxb525@163.com

更新日期/Last Update: 2024-10-28