One-stop intravitreal injection model: expert consensus on establishment and management_Chinese Journal of Ocular Fundus Diseases

Authors：

 Li Xiaorong ¹ ,  Li Xiaoxin ^2,3 ,  Xu Xun ⁴

1. Tianjin Medical University Eye Hospital, Tianjin Medical University Eye Institute, School of Optometry & Ophthalmology, Tianjin 300384, China;
2. Xiamen Eye Center of Xiamen University, Xiamen 361003, China;
3. Department of Ophthalmology, Peking University People's Hospital, Beijing 100044, China;
4. Shanghai Jiao Tong University, National Clinical Research Center for Eye Diseases, Shanghai 200080, China;

Corresponding author：

Li Xiaorong, Email: xiaorli@163.com; Li Xiaoxin, Email: dr_lixiaoxin@163.com; Xu Xun, Email: drxuxun@sjtu.edu.cn

Keywords：

Intravitreal injection; Standard operating procedure; Organization management; Physician's practice patterns; Quality control standard; Expert consensus

DOI：

10.3760/cma.j.cn511434-20230211-00041

Video：

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Abstract Full text Figures/Tables Video References Cited by

Intravitreal drug injection is a treatment for common chronic fundus diseases such as age-related macular degeneration and diabetic retinopathy. The “14th Five-Year” National Eye Health Plan (2021-2025) recommends focusing on fundus diseases and improve the management mode of patients with chronic eye diseases. Therefore, it is imperative to explore how to further optimize the service process of intravitreal injection under the premise of guaranteeing patients' medical safety, to promote medical service efficiency and standardized management level and improve the medical experience of patients. Based on the quality control standard of vitreous cavity injection for retinopathy in China, Chinese fundus disease and related field experts developed the present expert consensus on the establishment of a one-stop intravitreal injection model and the management of its organization after a serious, comprehensive, and complete discussion, focusing on a standardized operation process, quality control, and safety management, providing more references for establishing a suitable intravitreal injection management model for ophthalmology and promoting the development of diagnostic and treatment models for fundus disease in China.

Citation： Li Xiaorong, Li Xiaoxin, Xu Xun. One-stop intravitreal injection model: expert consensus on establishment and management. Chinese Journal of Ocular Fundus Diseases, 2023, 39(3): 187-193. doi: 10.3760/cma.j.cn511434-20230211-00041 Copy

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10.	杨拔贤. 麻醉[M]//吴在德, 吴肇汉. 外科学(第七版). 北京: 人民卫生出版社, 2008: 65-66.Yang BX. Anesthesia [M]//Wu ZD, Wu ZH. Surgery (seventh edition). Beijing: People's Medical Publishing House, 2008: 65-66.
11.	Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: guidelines from the Association of Anaesthetists and the British Association of Day Surgery[J]. Anaesthesia, 2019, 74(6): 778-792. DOI: 10.1111/anae.14639.
12.	张琰, 尉俊铮, 王欣然. 信息化在日间病房管理中的应用[J]. 中国数字医学, 2016, 11(8): 113-115. DOI: 10.3969/j.issn.1673-7571.2016.08.037.Zhang Y, Wei JZ, Wang XR. The application of informatization in the day care ward management[J]. China Digital Medicine, 2016, 11(8): 113-115. DOI: 10.3969/j.issn.1673-7571.2016.08.037.
13.	马洪升. 日间手术质量安全管理[M]//马洪升. 日间手术. 北京: 人民卫生出版社, 2016: 162-174.Ma HS. Quality and safety management of day surgery[M]//Ma HS. Day surgery. Beijing: People's Medical Publishing House, 2016: 162-174.
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15.	王晓凤, 竺慧, 王娟, 等. 医护一体化管理在眼科日间病房流程优化中的应用[J]. 实用老年医学, 2022, 36(4): 426-429. DOI: 10.3969/j.issn.1003-9198.2022.04.026.Wang XF, Zhu H, Wang J, et al. Application of collaborative doctor-nurse management of medical care in the optimization of ophthalmic day ward procedure[J]. Pract Geriatr, 2022, 36(4): 426-429. DOI: 10.3969/j.issn.1003-9198.2022.04.026.
16.	朱玉, 冯丹, 王博, 等. 日间手术服务质量安全管理标准研究[J]. 中华医院管理杂志, 2018, 34(12): 989-994. DOI: 10.3760/cma.j.issn.1000-6672.2018.12.005.Zhu Y, Feng D, Wang B, et al. Research of quality and safety management standards on ambulatory surgery service[J]. Chin J Hosp Admin, 2018, 34(12): 989-994. DOI: 10.3760/cma.j.issn.1000-6672.2018.12.005.

1. 国家卫生健康委. “十四五”全国眼健康规划(2021-2025年)[S]. 2022-01-04.National Health Commission. 14th Five-Year Plan for Eye Health (2021-2025)[S]. 2022-01-04.
2. 嵇武, 刘亚萍, 戴玮. 我国日间手术开展现状与前景展望[J]. 中国实用外科杂志, 2020, 40(2): 199-202. DOI: 10.19538/j.cjps.issn1005-2208.2020.02.14.Ji W, Liu YP, Dai W. Current developments and future perspectives of ambulatory surgery in China[J]. Chinese Journal of Practical Surgery, 2020, 40(2): 199-202. DOI: 10.19538/j.cjps.issn1005-2208.2020.02.14.
3. 付晶, 魏文斌, 马张芳, 等. 我院眼科日间手术管理模式的发展及探索[J]. 中国医院管理, 2018, 38(8): 51-52.Fu J, Wei WB, Ma ZF, et al. Exploration and development of ophthalmology day surgery management model in the hospital[J]. Chinese Hospital Management, 2018, 38(8): 51-52.
4. 中国医药教育协会眼科委员会, 解放军医学科学技术委员会眼科学分会, 中国老年医学学会眼科分会. 中国眼科日间手术管理专家共识(2021年)[J]. 中华眼科杂志, 2021, 57(6): 406-414. DOI: 10.3760/cma.j.cn112142-20201117-00757.Ophthalmological Society of China Medicine Education Association, The Ophthalmology Association of PLA Medical Science Technical Committee, Ophthalmology Branch of the Chinese Academy of Geriatrics. Chinese expert consensus on management of ophthalmic day surgery (2021)[J]. Chin J Ophthalmol, 2021, 57(6): 406-414. DOI: 10.3760/cma.j.cn112142-20201117-00757.
5. 解放军医学科学技术委员会眼科学分会. 我国眼科日间手术流程专家共识(2018年)[J]. 中华眼科杂志, 2018, 54(12): 883-886. DOI: 10.3760/cma.j.issn.0412-4081.2018.12.002.Ophthalmology Branch of PLA Medical Science and Technology Commission. Chinese expert consensus on ophthalmic day surgery procedure (2018)[J]. Chin J Ophthalmol, 2018, 54(12): 883-886. DOI: 10.3760/cma.j.issn.0412-4081.2018.12.002.
6. 中华医学会眼科学分会眼底病学组. 我国视网膜病玻璃体腔注药术质量控制标准[J]. 中华眼科杂志, 2015, 51(12): 892-895. DOI: 10.3760/cma.j.issn.0412-4081.2015.12.005.Fundus Disease Group, Ophthalmology Society of Chinese Medical Association. Quality control standard of vitreous injection for retinopathy in China[J]. Chin J Ophthalmol, 2015, 51(12): 892-895. DOI: 10.3760/cma.j.issn.0412-4081.2015.12.005.
7. 罗永, 罗利, 白会芳, 等. 日间手术两种管理模式的评价[J]. 中国卫生事业管理, 2016, 33(9): 667-670, 690.Luo Y, Luo L, Bai HF, et al. Evaluation of two kinds of day surgery management pattern[J]. Chinese Health Service Management, 2016, 33(9): 667-670, 690.
8. 魏文斌. 眼科日间手术中心日常工作操作守则及工作流程[M]//魏文斌. 同仁眼科日间手术手册. 北京: 人民卫生出版社, 2018: 13-19.Wei WB. Practice and procedures for daily work of ophthalmology day surgery center[M]//Wei WB. Tongren handbook of ophthalmic day surgery. Beijing: People's Medical Publishing House, 2018: 13-19.
9. 魏文斌. 眼科日间病历记录[M]//魏文斌. 同仁眼科日间手术手册. 北京: 人民卫生出版社, 2018: 85-89.Wei WB. Ophthalmic daytime medical records[M]//Wei WB. Tongren handbook of ophthalmic day surgery. Beijing: People's Medical Publishing House, 2018: 85-89.
10. 杨拔贤. 麻醉[M]//吴在德, 吴肇汉. 外科学(第七版). 北京: 人民卫生出版社, 2008: 65-66.Yang BX. Anesthesia [M]//Wu ZD, Wu ZH. Surgery (seventh edition). Beijing: People's Medical Publishing House, 2008: 65-66.
11. Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: guidelines from the Association of Anaesthetists and the British Association of Day Surgery[J]. Anaesthesia, 2019, 74(6): 778-792. DOI: 10.1111/anae.14639.
12. 张琰, 尉俊铮, 王欣然. 信息化在日间病房管理中的应用[J]. 中国数字医学, 2016, 11(8): 113-115. DOI: 10.3969/j.issn.1673-7571.2016.08.037.Zhang Y, Wei JZ, Wang XR. The application of informatization in the day care ward management[J]. China Digital Medicine, 2016, 11(8): 113-115. DOI: 10.3969/j.issn.1673-7571.2016.08.037.
13. 马洪升. 日间手术质量安全管理[M]//马洪升. 日间手术. 北京: 人民卫生出版社, 2016: 162-174.Ma HS. Quality and safety management of day surgery[M]//Ma HS. Day surgery. Beijing: People's Medical Publishing House, 2016: 162-174.
14. 胡晓, 刘倩, 黄晓萱, 等. 日间手术病房的精益管理策略[J]. 华西医学, 2019, 34(2): 159-163. DOI: 10.7507/1002-0179.201901030.Hu X, Liu Q, Huang XX, et al. Lean management strategy of day surgery ward[J]. West China Medical Journal, 2019, 34(2): 159-163. DOI: 10.7507/1002-0179.201901030.
15. 王晓凤, 竺慧, 王娟, 等. 医护一体化管理在眼科日间病房流程优化中的应用[J]. 实用老年医学, 2022, 36(4): 426-429. DOI: 10.3969/j.issn.1003-9198.2022.04.026.Wang XF, Zhu H, Wang J, et al. Application of collaborative doctor-nurse management of medical care in the optimization of ophthalmic day ward procedure[J]. Pract Geriatr, 2022, 36(4): 426-429. DOI: 10.3969/j.issn.1003-9198.2022.04.026.
16. 朱玉, 冯丹, 王博, 等. 日间手术服务质量安全管理标准研究[J]. 中华医院管理杂志, 2018, 34(12): 989-994. DOI: 10.3760/cma.j.issn.1000-6672.2018.12.005.Zhu Y, Feng D, Wang B, et al. Research of quality and safety management standards on ambulatory surgery service[J]. Chin J Hosp Admin, 2018, 34(12): 989-994. DOI: 10.3760/cma.j.issn.1000-6672.2018.12.005.

Chinese Journal of Ocular Fundus Diseases

One-stop intravitreal injection model: expert consensus on establishment and management

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