HU Xiao , LIU Qian , HUANG Xiaoxuan , LIU Weidong , MO Yang
  • Day Surgery Center, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P. R. China;
MO Yang, Email: moyang1980my@csu.edu.cn
Day surgery; Lean management; Medical safety; Medical quality; Patients’ satisfaction
10.7507/1002-0179.201901030
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Objective  To explore the effect of lean management on patients’ safety, medical quality, and satisfaction in day surgery ward. Methods  The patients underwent day surgery between May 4th, 2017 and April 30th, 2018 were selected as the subjects (the lean management of day surgery ward implemented on November 1st, 2017). The patients underwent day surgery between May 4th and October 31st, 2017 were taken as the control group (n=2 864), and the ones between November 1st, 2017 to April 30th, 2018 were taken as the observation group (n=2 705). The following data between the two groups were compared: the cancellation rate of day surgery, the 24-hour delayed discharge rate, the rate of 12-hour median or severe pain after surgery, the rate of 12-hour postoperative nausea and vomiting, the awareness rate of health education, the patients’ satisfaction, and the incidence of adverse events.Results  Compared with those in the control group, the cancellation rate of surgery (4.81% vs. 6.25%), the 24-hour delayed discharge rate (2.76% vs. 4.28%), the 12-hour median or severe pain after surgery (5.55% vs. 8.31%), the rate of 12-hour postoperative nausea and vomiting (5.86% vs. 7.71%) decreased in the observation group, and the differences were statistically significant (P<0.05). The awareness rate of health education increased from 92.18% to 98.02% after the implementation of lean management, the patients’ satisfaction increased from 92.48±2.58 to 96.53±1.64 after the implementation of lean management, and the differences were statistically significant (P<0.05). The incidences of adverse events in the two groups were not statistically different (0.16% vs. 0.41%, P>0.05). Conclusion  The implementation of lean management model can insure the medical safety and quality of day surgery, and improve overall work efficiency and the patients’ medical service experience in day surgery ward.

Citation： HU Xiao, LIU Qian, HUANG Xiaoxuan, LIU Weidong, MO Yang. Lean management strategy of day surgery ward. West China Medical Journal, 2019, 34(2): 159-163. doi: 10.7507/1002-0179.201901030 Copy

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