Study on indicator system of quality and safety of day surgery based on structure-process-outcome theory_West China Medical Journal

Authors：

JIANG Lisha ¹ , SUN Jialu ² , YANG Jianchao ³ , MA Hongsheng ¹ , SUN Hui ² , SONG Yinghan ¹ ,  MA Xudong ⁴

1. Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. National Institute of Hospital Administration, National Health Commission of the People’s Republic of China, Beijing 100048, P. R. China;
3. Business School, Hohai University, Nanjing, Jiangsu 211100, P. R. China;
4. Department of Healthcare Quality Evaluation, Bureau of Medical Administration, National Health Commission of the People’s Republic of China, Beijing 100044, P. R. China;

Corresponding author：

MA Xudong, Email: 13910092912@163.com

Keywords：

Day surgery; medical quality; medical safety; evaluation indicator; structure-process-outcome theory

DOI：

10.7507/1002-0179.202108240

Video：

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Abstract Full text Figures/Tables Video References Cited by

Since 2015, when the day surgery mode was officially reckoned and supported by the National Health Commission, the day surgery model has entered the new period of rapid development. But at the same time, challenges in the vacancy of the evaluation indexes of the medical quality and safety of day surgery still pose obstacles to its growth. At present, there is no nationally unified evaluating index or appraising system for the day surgery-related medical quality and safety. In this paper, based on structure-process-outcome theory, the day surgery practice and involved researching literature were retrieved, reviewed, and analyzed. Also, the practice model at West China Hospital of Sichuan University (a pioneer day surgery hospital in China) was comprehensively compared with the National Clinical Improvement System. From the aspect of day surgery medical quality and safety evaluation indicators, it is hoped to provide an evidence-based method and evaluation of day surgery, and a theoretical basis for establishing policies and data reference.

Citation： JIANG Lisha, SUN Jialu, YANG Jianchao, MA Hongsheng, SUN Hui, SONG Yinghan, MA Xudong. Study on indicator system of quality and safety of day surgery based on structure-process-outcome theory. West China Medical Journal, 2022, 37(4): 581-585. doi: 10.7507/1002-0179.202108240 Copy

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2.	Aspinen S, Harju J, Juvonen P, et al. A prospective, randomized multicenter study comparing conventional laparoscopic cholecystectomy versus minilaparotomy cholecystectomy with ultrasonic dissection as day surgery procedure-1-year outcome. Scand J Gastroenterol, 2014, 49(11): 1336-1342.
3.	Mitchell M. Home recovery following day surgery: a patient perspective. J Clin Nurs, 2015, 24(3/4): 415-427.
4.	Sarkiss CA, Papin JA, Yao A, et al. Day of surgery impacts outcome: rehabilitation utilization on hospital length of stay in patients undergoing elective meningioma resection. World Neurosurg, 2016, 93: 127-132.
5.	Anderson JE, Kodate N. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. Saf Sci, 2015, 80: 105-114.
6.	Vincent C, Aylin P, Franklin BD, et al. Is health care getting safer?. BMJ, 2008, 337: a2426.
7.	Bratzler DW, Dellinger EP, Olsen KM, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Surg Infect (Larchmt), 2013, 14(1): 73-156.
8.	Cordeiro E, Jackson T, Cil T. Same-day major breast cancer surgery is safe: an analysis of short-term outcomes using NSQIP data. Ann Surg Oncol, 2016, 23(8): 2480-2486.
9.	Monfardini S, Jirillo A, Boscaro M, et al. Can the ISO9000 quality assessment be applied to the practice of medical oncology?. Ann Oncol, 2003, 14(12): 1795.
10.	Donabedian A. The quality of care. How can it be assessed?. JAMA, 1988, 260(12): 1743.
11.	李志超, 马洪升, 杨建超, 等. 我国日间手术质量与安全管理理论框架的多层次多维度全景重构. 中国卫生事业管理, 2020, 37(9): 644-646, 658.
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14.	孙辉, 明敏馨, 马旭东. 我国二、三级医疗机构日间手术发展现状分析. 中国医院管理, 2022, 42(3): 48-51.
15.	王莹, 孙辉. 日间手术对控制医疗费用的应用效果探讨. 中国医院管理, 2021, 41(4): 72-74.
16.	王莹, 孙辉. 某三级综合医院乳腺肿瘤患者日间手术总费用影响因素分析. 中国医院管理, 2022, 42(1): 60-63.
17.	国家医疗质量管理与控制信息网. 年度全国医疗质量数据抽样调查. [2021-04-06]. http://www.ncis.cn/home.
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19.	Jiang L, Ma H. From west to east: video-assisted thoracoscopic surgery in day surgery center. J Thorac Dis, 2020, 12(5): 2838-2839.
20.	Jiang L, Houston R, Li C, et al. Day surgery program at West China Hospital: exploring the initial experience. Cureus, 2020, 12(7): e8961.
21.	胡彬. 国家卫生计生委印发《2016 年改善医疗服务行动计划重点工作方案通知》. 中医药管理杂志, 2016, 24(9): 24.
22.	柴双. 《进一步改善医疗服务行动计划(2018—2020 年)》解析. 中国社会工作, 2018(18): 4-6.

1. 卫生经济学会日间手术. 中国日间手术合作联盟. [2021-04-06]. http://www.chinaasa.org/col.jsp?id=111.
2. Aspinen S, Harju J, Juvonen P, et al. A prospective, randomized multicenter study comparing conventional laparoscopic cholecystectomy versus minilaparotomy cholecystectomy with ultrasonic dissection as day surgery procedure-1-year outcome. Scand J Gastroenterol, 2014, 49(11): 1336-1342.
3. Mitchell M. Home recovery following day surgery: a patient perspective. J Clin Nurs, 2015, 24(3/4): 415-427.
4. Sarkiss CA, Papin JA, Yao A, et al. Day of surgery impacts outcome: rehabilitation utilization on hospital length of stay in patients undergoing elective meningioma resection. World Neurosurg, 2016, 93: 127-132.
5. Anderson JE, Kodate N. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. Saf Sci, 2015, 80: 105-114.
6. Vincent C, Aylin P, Franklin BD, et al. Is health care getting safer?. BMJ, 2008, 337: a2426.
7. Bratzler DW, Dellinger EP, Olsen KM, et al. Clinical practice guidelines for antimicrobial prophylaxis in surgery. Surg Infect (Larchmt), 2013, 14(1): 73-156.
8. Cordeiro E, Jackson T, Cil T. Same-day major breast cancer surgery is safe: an analysis of short-term outcomes using NSQIP data. Ann Surg Oncol, 2016, 23(8): 2480-2486.
9. Monfardini S, Jirillo A, Boscaro M, et al. Can the ISO9000 quality assessment be applied to the practice of medical oncology?. Ann Oncol, 2003, 14(12): 1795.
10. Donabedian A. The quality of care. How can it be assessed?. JAMA, 1988, 260(12): 1743.
11. 李志超, 马洪升, 杨建超, 等. 我国日间手术质量与安全管理理论框架的多层次多维度全景重构. 中国卫生事业管理, 2020, 37(9): 644-646, 658.
12. 栾慧勇. 基于物联网技术的定向广告传播模式研究. 哈尔滨: 哈尔滨工业大学, 2012.
13. 蒋丽莎, 马洪升. 日间手术评价与监控指标初探. 华西医学, 2019, 34(2): 202-205.
14. 孙辉, 明敏馨, 马旭东. 我国二、三级医疗机构日间手术发展现状分析. 中国医院管理, 2022, 42(3): 48-51.
15. 王莹, 孙辉. 日间手术对控制医疗费用的应用效果探讨. 中国医院管理, 2021, 41(4): 72-74.
16. 王莹, 孙辉. 某三级综合医院乳腺肿瘤患者日间手术总费用影响因素分析. 中国医院管理, 2022, 42(1): 60-63.
17. 国家医疗质量管理与控制信息网. 年度全国医疗质量数据抽样调查. [2021-04-06]. http://www.ncis.cn/home.
18. 规划发展与信息化司. 2019 年我国卫生健康事业发展统计公报. (2020-06-06)[2021-04-06]. http://www.nhc.gov.cn/guihuaxxs/s10748/202006/ebfe31f24cc145b198dd730603ec4442.shtml.
19. Jiang L, Ma H. From west to east: video-assisted thoracoscopic surgery in day surgery center. J Thorac Dis, 2020, 12(5): 2838-2839.
20. Jiang L, Houston R, Li C, et al. Day surgery program at West China Hospital: exploring the initial experience. Cureus, 2020, 12(7): e8961.
21. 胡彬. 国家卫生计生委印发《2016 年改善医疗服务行动计划重点工作方案通知》. 中医药管理杂志, 2016, 24(9): 24.
22. 柴双. 《进一步改善医疗服务行动计划(2018—2020 年)》解析. 中国社会工作, 2018(18): 4-6.

West China Medical Journal

Study on indicator system of quality and safety of day surgery based on structure-process-outcome theory

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