Some complex surgical procedures allow for day surgery benefited from the advancement of the concept of enhanced recovery after surgery and minimally invasive surgical techniques. Shanghai Chest Hospital has set up thoracic day surgery ward incorporating some lung tumor surgeries into day surgery. Through process innovation, model innovation and management innovation, relying on the full-process closed-loop day surgery management system, the day surgery ward runs efficiently. It can help effectively alleviate the difficulty of admission and operation, and improve hospital operation efficiency as well as reduce the economic burden of disease. At the same time, we hope to explore an innovative development path for the possibility of day surgery in complex thoracic surgery, and create a new mode of day surgery that can be replicated and promoted.
Against the backdrop of high-quality development in public hospitals, enhancing emergency and critical care capabilities has become a core task in medical system construction. Based on the resilience theory’s “4R model” (robustness, redundancy, resourcefulness, and rapidity) and three key principles of synergy theory (amplification, dominance, and order parameters), Shanghai Chest Hospital has developed and implemented an integrated emergency-critical care operational model. This article systematically introduces the model’s construction background, theoretical framework, and core implementation measures, primarily including management synergy, resource integration, and smart empowerment. Practical results demonstrated that the model effectively improved treatment quality, optimized resource efficiency, and strengthened disciplinary capabilities. By sharing this replicable practical experience, it provides theoretical references and practical paradigms for the systematic optimization and resilience enhancement of emergency and critical care systems in public hospitals.