Recently, the General Office of the Zhejiang Provincial Government issued the "Comprehensive Pilot Program for Deepening the Reform of the Medical and Health System in Zhejiang Province". The main objectives mentioned that by 2017, the first task of reform of the Central Committee of the Communist Party of China and the State Council on deepening the reform of the medical and health system will be completed. To achieve basic medical and health services that everyone enjoys safe, effective, convenient and inexpensive. In this regard, many public hospitals are actively working hard. For example, the Second Hospital of Zhejiang Medical University took the lead in the implementation of day surgery in China as early as 5 years ago. At present, the number of day surgery cases has expanded to 74. Day surgery has accounted for 15% of total hospitalizations.
Professor Wang Jianan, Dean of the Second Hospital of Zhejiang Medical University, said in an interview: "The Second Hospital of Zhejiang Medical University is a hospital for the people. We must do our utmost to reduce the unnecessary hospitalization time for patients and let the patients stay in the hospital every minute. Significant."
In the Second Hospital of Zhejiang Medical University, what kind of patients, what kind of diseases, can be "selected" in the day, and what kind of doctors, can be qualified to "moving the knife", must be carefully selected, strictly controlled .
Professor Wang Jianan told reporters that there are "three accesses" standards for day surgery, which strictly guarantee patient safety.
Doctor admission is a qualified clinician and anesthesiologist with high clinical experience and above, with extensive clinical experience. The ward is equipped with a general practitioner to assist in perioperative patient management. The hospital also implements the dynamic management of sunshine qualifications, with qualifications as the basis for judging whether doctors can operate independently.
Patient admission includes ages 14 to 70, clear consciousness, family accompaniment, and unobstructed communication, no severe cardiopulmonary insufficiency, and surgery assessment required to meet the American Society of Anesthesiologists Classification (ASA) I- Level II.
With access to the disease, 74 diseases in 16 departments have been identified as daytime surgical diseases.
Such as orthopedic arthroscopic meniscus repair, internal fixation, etc.;
Gynecological hysteroscopic surgery, laparoscopic ovarian cyst surgery and cervical conization;
Surgical inguinal hernia repair, laparoscopic cholecystectomy, etc.; high varicocele ligation in urology;
Coronary stenting, radiofrequency ablation, etc. in cardiology;
Vocal cord polypectomy for otolaryngology;
Thoracoscopy vagus nerve block surgery in thoracic surgery.
Admission is based on patient safety and clinical pathways, and selects diseases with small trauma, short operation time, high safety, and rapid recovery.
“Day surgery sounds simple, but there needs to be strong medical technology, a sound evaluation system, and a smooth management process to support patients, so as to effectively protect patient safety, improve the experience of treatment, and reduce medical risks.†Professor Wang Jianan said .
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