Effect of conducting quality control circle activities on the decrease of broken appointment rate of day surgery_West China Medical Journal

Authors：

MO Yang ¹ , CHEN Yaling ¹ , SHI Fenghua ¹ , HUANG Xiaoxuan ¹ , QU Hongying ¹ , LIU Weidong ¹ ,  GAO Hongmei ²

1. Department of Day Surgery Center, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P. R. China;
2. Department of Nursing, Xiangya Hospital of Central South University, Changsha, Hunan 410008, P. R. China;

Corresponding?author：

GAO Hongmei, Email: gaohongmei50@163.com

Keywords：

Quality control circle; Day surgery; Broken appointment rate

DOI：

10.7507/1002-0179.201703091

Video：

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Objective To decrease broken appointment rate of day surgery by conducting quality control circle (QCC) activities, in order to make full use of quality resources. Methods All the patients who made an appointment in the day surgery units in Xiangya Hospital of Central South University between July and September 2015 were chosen as the research subjects. By counting the number of patients who broke the appointment, we analyzed the broken appointment rate. In October 2015, we established a QCC management team to deal with the phenomenon of high broken appointment rate, and set up a theme of " decreasing broken appointment rate of day surgery”. Related regulations were implemented and procedures were optimized. In December 2015, we compared the broken appointment rates before and after the implementation of QCC activities among all 1 879 patients. Results After the implementation of QCC activities, the day surgery broken appointment rate decreased from 17.16% to 6.06%, and the target achievement rate was 122.65%. Conclusion QCC activities can effectively reduce day surgery broken appointment rate.

Citation： MO Yang, CHEN Yaling, SHI Fenghua, HUANG Xiaoxuan, QU Hongying, LIU Weidong, GAO Hongmei. Effect of conducting quality control circle activities on the decrease of broken appointment rate of day surgery. West China Medical Journal, 2017, 32(4): 488-492. doi: 10.7507/1002-0179.201703091 Copy

1.	?馮靈, 周曾蓉, 汪銳, 等. 品質管理圈在降低住院患者留置針不良事件中的應用. 華西醫學, 2014, 29(12): 2329-2332.
2.	中國日間手術聯盟. 日間手術手冊. 北京: 人民衛生出版社, 2015.
3.	Kaddoum R, Fadlallah R, Hitti E, et al. Causes of cancellations on the day of surgery at a tertiary teaching hospital. BMC Health Serv Res, 2016, 16(1): 1-8.
4.	Lee CS, Mccormick PA. Telephone reminders to reduce non-attendance rate for endoscopy. J R Soc Med, 2003, 96(11): 547-548.
5.	殷宇, 戴燕. 日間手術病房預約處爽約原因分析及對策. 華西醫學, 2016, 31(4): 624-625.
6.	袁華娣, 洪萍花, 蔣立群, 等. 擇期日間手術當日取消手術的原因分析及對策. 護理與康復, 2015, 14(10): 965-967.
7.	周藜藜, 王維, 趙瑜, 等. 品質管理圈在提高胃腸減壓有效率中的應用. 華西醫學, 2016, 30(4): 754-757.
8.	Boothe P, Finegan BA. Changing the admission process for elective surgery: an economic analysis. Can J Anaesth, 1995, 42(5 Pt 1): 391-394.
9.	Mitchell M. Influence of gender and anaesthesia type on day surgery anxiety. J Adv Nurs, 2012, 68(5): 1014-1025.
10.	張敏, 王麗娜. 針對肛腸手術患者的焦慮情緒采用心理干預護理的效果及滿意度調查. 世界華人消化雜志, 2015, 23(3): 521-524.
11.	Mitchell M. Patient anxietyand conscious surgery. ISSN, 2009, 19(6): 168-173.
12.	Wilson FL, Mayeta-Peart A, Parada-Webster L, et al. Using the teach-back method to increase maternal immunization literacy among low-income pregnant women in Jamaica: a pilot study. J Pediatr Nurs, 2012, 27(5): 451-459.
13.	倪棟梅. 品管圈. 活動在健康教育質量改進中的應用效果探討.護理實踐與研究, 2012, 9(1): 97-98.
14.	毛向陽. 公立醫院實行預約診療服務的路徑探索. 齊齊哈爾醫學院學報, 2011, 32(9): 1447-1449.
15.	徐芳, 劉力戈, 李偉榮. 減少擇期手術臨時取消病例的做法與體會. 中國醫院管理, 2015, 35(2): 26-28.
16.	宋堯. 手術前焦慮與心理護理. 河南外科學雜志, 2011, 17(1): 110-112.
17.	Haufler K, Harrington M. Using nurse-to-patient telephone calls to reduce day-of-surgery cancellations. AORN J, 2011, 94(1): 19-26.
18.	張幸國, 王臨潤, 劉勇. 醫院品管圈輔導手冊. 北京: 人民衛生出版社, 2012: 109-112.
19.	梁銘會, 劉庭芳, 董四平. 品管圈在醫療質量持續改進中的應用研究. 中國醫院管理, 2012, 32(2): 37-39.
20.	劉小南, 俞德梁, 趙青川, 等. 關于日間手術模式的研究及應用進展. 醫學與哲學, 2014, 35(4): 56-59.

1. ?馮靈, 周曾蓉, 汪銳, 等. 品質管理圈在降低住院患者留置針不良事件中的應用. 華西醫學, 2014, 29(12): 2329-2332.
2. 中國日間手術聯盟. 日間手術手冊. 北京: 人民衛生出版社, 2015.
3. Kaddoum R, Fadlallah R, Hitti E, et al. Causes of cancellations on the day of surgery at a tertiary teaching hospital. BMC Health Serv Res, 2016, 16(1): 1-8.
4. Lee CS, Mccormick PA. Telephone reminders to reduce non-attendance rate for endoscopy. J R Soc Med, 2003, 96(11): 547-548.
5. 殷宇, 戴燕. 日間手術病房預約處爽約原因分析及對策. 華西醫學, 2016, 31(4): 624-625.
6. 袁華娣, 洪萍花, 蔣立群, 等. 擇期日間手術當日取消手術的原因分析及對策. 護理與康復, 2015, 14(10): 965-967.
7. 周藜藜, 王維, 趙瑜, 等. 品質管理圈在提高胃腸減壓有效率中的應用. 華西醫學, 2016, 30(4): 754-757.
8. Boothe P, Finegan BA. Changing the admission process for elective surgery: an economic analysis. Can J Anaesth, 1995, 42(5 Pt 1): 391-394.
9. Mitchell M. Influence of gender and anaesthesia type on day surgery anxiety. J Adv Nurs, 2012, 68(5): 1014-1025.
10. 張敏, 王麗娜. 針對肛腸手術患者的焦慮情緒采用心理干預護理的效果及滿意度調查. 世界華人消化雜志, 2015, 23(3): 521-524.
11. Mitchell M. Patient anxietyand conscious surgery. ISSN, 2009, 19(6): 168-173.
12. Wilson FL, Mayeta-Peart A, Parada-Webster L, et al. Using the teach-back method to increase maternal immunization literacy among low-income pregnant women in Jamaica: a pilot study. J Pediatr Nurs, 2012, 27(5): 451-459.
13. 倪棟梅. 品管圈. 活動在健康教育質量改進中的應用效果探討.護理實踐與研究, 2012, 9(1): 97-98.
14. 毛向陽. 公立醫院實行預約診療服務的路徑探索. 齊齊哈爾醫學院學報, 2011, 32(9): 1447-1449.
15. 徐芳, 劉力戈, 李偉榮. 減少擇期手術臨時取消病例的做法與體會. 中國醫院管理, 2015, 35(2): 26-28.
16. 宋堯. 手術前焦慮與心理護理. 河南外科學雜志, 2011, 17(1): 110-112.
17. Haufler K, Harrington M. Using nurse-to-patient telephone calls to reduce day-of-surgery cancellations. AORN J, 2011, 94(1): 19-26.
18. 張幸國, 王臨潤, 劉勇. 醫院品管圈輔導手冊. 北京: 人民衛生出版社, 2012: 109-112.
19. 梁銘會, 劉庭芳, 董四平. 品管圈在醫療質量持續改進中的應用研究. 中國醫院管理, 2012, 32(2): 37-39.
20. 劉小南, 俞德梁, 趙青川, 等. 關于日間手術模式的研究及應用進展. 醫學與哲學, 2014, 35(4): 56-59.

West China Medical Journal

Effect of conducting quality control circle activities on the decrease of broken appointment rate of day surgery

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