日間手術(shù)模式下會診與術(shù)前討論制度的分析與思考*

【摘要】確保核心制度的有效落實，是推進日間手術(shù)高質(zhì)量發(fā)展的必然要求。傳統(tǒng)模式下的會診與術(shù)前討論制度并不能完全適應(yīng)日間手術(shù)。結(jié)合實踐提出：一是可參考門診多學(xué)科會診模式等，強化日間手術(shù)模式下會診與術(shù)前討論制度的落實；二是可從制度內(nèi)涵、參與范圍、實施細節(jié)等方面對兩項制度進行優(yōu)化與完善。

【關(guān)鍵詞】日間手術(shù)；會診制度；術(shù)前討論制度；醫(yī)療質(zhì)量；醫(yī)療安全

中圖分類號：R197.32文獻標識碼：A

AbstractEnsuring the effective implementation of the core system is an inevitable requirement for promoting the high-quality development of day surgery. The consultation and preoperative discussion system under the traditional mode cannot fully adapt to day surgery. Combined with practice， it is proposed that ： first， the implementation of consultation and preoperative discussion system under day surgery mode can be strengthened by referring to outpatient multidisciplinary consultation mode ; second， the two systems can be optimized and improved from the aspects of system connotation， participation scope and implementation details.

自1909年英格蘭小兒外科Nicoll醫(yī)生［1］報道日間手術(shù)以來，其以高質(zhì)量、高效率的特點逐漸得到外科界的廣泛認可。（剩余8446字）