Yangzhou news on January 24 (reporter Wang Xifei) "I can't imagine that I can do surgery without hospitalization." Unexpectedly, you can go home on the same day of surgery, and you can't imagine that you don't have to suffer from your family to do an operation, which is really time-saving, money-saving and worry-free. Recently, mentioning the cataract surgery done at the Northern Jiangsu People's Hospital, 77-year-old Mrs. Jiang even said 3 "unthinkable".
It turned out that the old man did day surgery. This kind of surgery has been carried out in 31 departments of Subei People's Hospital, benefiting more than 16,000 people (times) in 2021, an increase of 27.8% year-on-year, involving 210 types of surgery and 175 types of surgery.
According to Shu Yusheng, president of Northern Jiangsu People's Hospital, in recent years, the hospital has carried out a "major operation" on the management model, work process, diagnosis and treatment level, service details, etc., which not only reduces the burden of hospitalization of patients, reduces the average hospital stay, but also improves the overall operation efficiency of the hospital.
Northern Jiangsu People's Hospital Building (Photo provided by the correspondent of the Central Broadcasting Network)
"The eyes are blurry and can't be seen clearly, and the doctor says it's a cataract that needs surgery." Mrs. Jiang has been suffering from cataracts for some time, and she has not had surgery before because she feels that hospitalization is very troublesome, and her children have no time to accompany them to work.
Not long ago, the elderly made an appointment for cataract day surgery, waited at home for notification after doing relevant examinations, went to the hospital to complete the operation on the same day, and went home on the same day. This "short and fast" operation subverts the traditional concept of surgery in the elderly, she said: "I really didn't expect surgery to do this." ”
"In the past, cataract surgery required patients to make a bed appointment, apply for admission, wait in line, and finally have to be accompanied by someone." Hua Xin, deputy chief physician of the Department of Ophthalmology of Subei People's Hospital, said that through day surgery, patients can complete all examinations in the outpatient clinic, and it takes only 24 hours from admission, surgery to discharge.
What is day surgery? Bai Dousheng, director of the medical department of Subei People's Hospital, introduced that day surgery refers to a surgical mode in which patients with clear clinical diagnosis are admitted to the hospital, operated or operated within 24 hours, briefly observed and discharged after surgery, and for individual patients who need to be postponed due to their condition, the maximum hospital stay is generally not more than 48 hours.
Operation scene of Northern Jiangsu People's Hospital (Courtesy of correspondent from CCTV)
Day surgery for patients, less time, energy and cost, for the hospital, the need for careful and scientific setting of the process.
In recent years, Northern Jiangsu People's Hospital has vigorously optimized the day surgery process, integrated the process and resources of the admission service center, the perioperative management center, the examination service center, and the day surgery center, and completed a series of preoperative matters such as patient admission, preoperative examination and examination, bed appointment, etc. in one stop, so as to realize the no-turnback service from admission to discharge.
"Safety is the lifeline of day surgery, although the patient's hospital stay is short, but the examination and evaluation that should be done, the process that should be taken can not be less, which puts forward higher requirements for the medical management level of the hospital and the medical skills of doctors." Shu Yusheng introduced.
The fact that a patient is discharged from the day ward does not mean that treatment is over.
"How do I recover after I am discharged from the hospital?" 56-year-old Aunt Zhao underwent osteoarthrohroscopic surgery due to rotator cuff tears, for Aunt Zhao's questions, Fei Wenyong, director of the Day Surgery Center of Subei People's Hospital and director of the Department of Sports Medicine, introduced that the hospital linked up and down, established a postoperative rehabilitation system for patients, and created a full-cycle rehabilitation model, such as taking the medical association joint ward and the specialist alliance as the carrier to build a grass-roots linkage rehabilitation system, and those who need rehabilitation after discharge can be rehabilitated at the grass-roots level. At present, the hospital has established contacts with 18 primary medical institutions.
In 2021, the number of day surgerists (times) in Northern Jiangsu People's Hospital increased by 27.8% year-on-year, which is closely related to the sincere cooperation of a complete set of service systems such as the hospital's day surgery center and admission service center, examination service center, perioperative management center, anesthesia team, nursing team, rapid recovery team, and operating room team.
At the same time as the workload increases, the difficulty of day surgery diseases is gradually increasing, and laparoscopic gallbladder resection, radical thyroid cancer, and arthroscopic meniscal resection have been carried out as routine day surgery.
"The demand for day surgery is gradually increasing, and some young people deliberately choose to operate on weekends so that they can go to work for a few days after being discharged from the hospital." Fei Wenyong said that especially during the small long holiday, there was a small peak in patients who came to the hospital for day surgery, and his team did more than 20 surgeries a day at the busiest time alone.
What is more reassuring to patients is that there is also an emergency mechanism as a guarantee, in case of special circumstances, doctors can flexibly withdraw from day surgery mode.
"Day surgery has released more medical resources and achieved a win-win situation for patients, hospitals and health insurance." Xu Daoliang, secretary of the Party Committee of Subei People's Hospital, said that day surgery is an important measure for public hospitals to improve services, improve quality and control costs, greatly improving the bed turnover rate, minimizing the hospitalization time of patients, effectively alleviating the backlog of patients in wards, and improving the patient's medical experience.