Cause analysis and countermeasure discussion of day surgery patients missing appointments_West China Medical Journal

Authors：

LI Xu , NI Xiaoying , HUANG Peipei , WEI Zheng ,  YE Xiaoyun

Customer Service Center, the Second Affiliated Hospital Zhejiang University School of Medicine, Hangzhou, Zhejiang 310009, P. R. China;

Corresponding author：

YE Xiaoyun, Email: khfwzx@zju.edu.cn

Keywords：

Day surgery; cancellation rate; countermeasure application

DOI：

10.7507/1002-0179.202211196

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the causes of day surgery patients missing appointments, and discuss the countermeasures. Methods We selected the patients who had missed appointments for day surgery in the Second Affiliated Hospital Zhejiang University School of Medicine between January 2017 and June 2022. According to the implementation time of the measures, we divided the patients into two groups: pre-intervention (between January 2017 and June 2020) and post-intervention (between July 2020 and June 2022), to analyze the causes of patients’ cancellation, compare the change of patients’ cancellation rate before and after the implementation of measures, and explore the effectiveness of implementation measures. Results A total of 17 392 patients were included, and the total number of day surgery patients was 148 720 during the same period. The total cancellation rate was 11.69% (17 392/148 720). The cancellation rate in the post-intervention was lower than that in the pre-intervention [9.70% (7 935/81 775) vs. 14.13% (9 457/66 945), odds ratio was 0.695, 95% confidence interval (0.674, 0.717), P<0.001]. There were 13 common reasons for cancellation, of which “outpatient treatment, not hospitalization” was the most common reason. Conclusion Through the coordination of various departments, actively optimizing the preoperative evaluation of patients, updating the appointment process, strengthening effective communication and implementing the implementation of efficient medical treatment, the cancellation rate of day surgery can be reduced, which has certain reference significance to improving the management level of the hospital and the ability to serve patients.

Citation： LI Xu, NI Xiaoying, HUANG Peipei, WEI Zheng, YE Xiaoyun. Cause analysis and countermeasure discussion of day surgery patients missing appointments. West China Medical Journal, 2023, 38(2): 210-213. doi: 10.7507/1002-0179.202211196 Copy

1.	杨玲, 黄小龙, 罗旭, 等. 国内外日间手术发展现状与思考. 中国卫生质量管理, 2020, 27(4): 33-37.
2.	俞德梁, 宁鹏涛, 王娟, 等. 关于日间手术定义与首批推荐适宜手术的思考. 医学与哲学(B), 2015, 36(12): 5-7, 14.
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6.	张玲玲, 张林虹, 苗战军, 等. 持续护理质量改善在降低日间手术病房床位爽约率的应用. 中国临床护理, 2020, 12(1): 53-55.
7.	叶小云, 章莉丽. 大型综合性医院住院床位失约情况分析. 中华医院管理杂志, 2016, 32(8): 589-591.
8.	周燕玲, 萧锘, 陈会. 一站式住院服务中心信息化管理系统建设—以江西省某三甲医院为例. 现代信息科技, 2021, 5(20): 153-156.
9.	张凤娟, 祁建明, 陈鸣宇, 等. 预住院管理模式的信息化探索与实践. 中国数字医学, 2020, 15(12): 55-58.
10.	杨媛, 袁玉仙, 叶小云. 入院准备中心“一站式服务”的实践. 中国卫生产业, 2021, 18(16): 190-193,198.
11.	程纯, 徐晓波, 杨柳, 等. 691 例住院患者择期手术取消原因分析和对策建议. 中国病案, 2017, 18(4): 35-39.
12.	陈启岳, 沈亮, 陈灿达, 等. 大型综合医院入院服务中心的信息化建设实践与应用创新. 中国数字医学, 2021, 16(2): 89-92.
13.	Kaddoum R, Fadlallah R, Hitti E, et al. Causes of cancellationson the day of surgery at a tertiary teaching hospital. BMC Health Serv Res, 2016, 16(1): 259.
14.	殷宇, 戴燕. 日间手术病房预约处爽约原因分析及对策. 华西医学, 2016, 31(4): 624-625.
15.	石天晓, 顾潇怡, 于海峰, 等. 国内日间手术实践成效与推广建议. 现代医院管理, 2017, 15(6): 46-48.

1. 杨玲, 黄小龙, 罗旭, 等. 国内外日间手术发展现状与思考. 中国卫生质量管理, 2020, 27(4): 33-37.
2. 俞德梁, 宁鹏涛, 王娟, 等. 关于日间手术定义与首批推荐适宜手术的思考. 医学与哲学(B), 2015, 36(12): 5-7, 14.
3. 马洪升, 戴燕. 日间手术治疗模式国内外发展简述. 中国医院管理, 2012, 32(1): 47-48.
4. 许丹, 程灿, 肖思瑜, 等. 集中预约模式在眼科日间手术患者的应用. 护理学杂志, 2017, 32(24): 25-27.
5. 傅文静, 李晓玲. 日间手术临时取消的现状及其干预的研究进展. 广西医学, 2020, 42(18): 2429-2432, 2462.
6. 张玲玲, 张林虹, 苗战军, 等. 持续护理质量改善在降低日间手术病房床位爽约率的应用. 中国临床护理, 2020, 12(1): 53-55.
7. 叶小云, 章莉丽. 大型综合性医院住院床位失约情况分析. 中华医院管理杂志, 2016, 32(8): 589-591.
8. 周燕玲, 萧锘, 陈会. 一站式住院服务中心信息化管理系统建设—以江西省某三甲医院为例. 现代信息科技, 2021, 5(20): 153-156.
9. 张凤娟, 祁建明, 陈鸣宇, 等. 预住院管理模式的信息化探索与实践. 中国数字医学, 2020, 15(12): 55-58.
10. 杨媛, 袁玉仙, 叶小云. 入院准备中心“一站式服务”的实践. 中国卫生产业, 2021, 18(16): 190-193,198.
11. 程纯, 徐晓波, 杨柳, 等. 691 例住院患者择期手术取消原因分析和对策建议. 中国病案, 2017, 18(4): 35-39.
12. 陈启岳, 沈亮, 陈灿达, 等. 大型综合医院入院服务中心的信息化建设实践与应用创新. 中国数字医学, 2021, 16(2): 89-92.
13. Kaddoum R, Fadlallah R, Hitti E, et al. Causes of cancellationson the day of surgery at a tertiary teaching hospital. BMC Health Serv Res, 2016, 16(1): 259.
14. 殷宇, 戴燕. 日间手术病房预约处爽约原因分析及对策. 华西医学, 2016, 31(4): 624-625.
15. 石天晓, 顾潇怡, 于海峰, 等. 国内日间手术实践成效与推广建议. 现代医院管理, 2017, 15(6): 46-48.

West China Medical Journal

Cause analysis and countermeasure discussion of day surgery patients missing appointments

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