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708 posters, 8 topics, 16 sessions, 1,190 authors, 600 institutions

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ISQua's 39th International Conference 2023

August 27 - 30, 2023 | Seoul, Republic of Korea

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P829

Day Surgery Model Post COVID-19 pandemic resolution projects.

Part of Topic

Patient Safety & Quality Improvement

Day Surgery Model Post COVID-19 pandemic resolution projects.

<INTRODUCTION>

In response to the covid-19 pandemic outbreak in May 2021, Taiwan's cases have reached a record high nearly every day, and the medical capacity is insufficient. The Central Epidemic Command Center urgently announced the launch of four major responsive measures, including reducing the outpatient operations of medical institutions nationwide, suspending certain medical services such as regular health examination, physical therapy, occupational therapy, and aesthetic medicine. This epidemic has severely affected the global medical industry structure. Although it has accelerated the development of smart medical care and telecare, it still cannot replace surgical treatment. Affected by the crowding of emergency medical resources and postponement of surgery to reduce the chance of nosocomial infection, the schedule of many non-emergent and routine surgeries continues to be delayed and accumulated.

<AIM>

In order to enable the overall healthcare system to find solutions to the long-term impact of the epidemic, we proposed the " Day Surgery Model ", an innovative and transformative plan. Through intensive management, we tailored the care process based on the patient's flow. Optimizing and simplifying the process of hospitalization and discharge of patients, implementing postoperative accelerated rehabilitation, improving the modes of health education, improving the work efficacy of medical staff, and reducing the workload pressure.

<METHOD>

This special " Day Surgery Model " was established using multiple intensive schemes, including:

•Optimized the cooperation mode of booking and bed control.
•Optimized the admission nursing assessment process, and producing an introduction video on the admission environment.
•Implemented disease care phrases in the nursing record system to shorten the admission process time of new patients.
•Produced a variety of health education manuals for different wound and dressing characteristics, providing more comprehensive and individualized health education content.
•Optimized and accelerated the discharge process to maintain a higher bed turnover rate.

<RESULTS>

ØDuring the implementation period from September 1, 2021 to November 30, 2022, a total of 16 months, 4122 patients were admitted.  3182 patients (77.2%) participated in the Day Surgery Model whereas 950 did not (23%).
ØDuring the operation period of the severe epidemic, 46% of the hospital's inpatient surgery patients were provided with stable surgical capacity.
ØReducing the risk of COVID-19 infection to 0%.
ØShortening the length of hospital stay by 1.9~2.8 days.
ØIncreasing the ward turnover rate by 8.6.
ØThe satisfaction of inpatients with our nursing service was 96.7%
ØThe satisfaction of patients and their families with the health education was 97.5%.
 
<CONCLUSIONS>

In response to the epidemic, the hospital management team integrated resources, and through this innovative care mode, provided a complete, safe and convenient surgical care, shortened the hospitalization period, reducing the risk of infection of surgical patients, and enhanced the resilience of medical services.

 

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