Abstract
The day surgery management mode is mainly decentralized management, with clinical departments as the unit, and with reference to the experience of inter project operation management in benchmark hospitals, the empirical management is implemented. With the development of day surgery, the extensive decentralized management mode has been unable to meet the needs of the current day surgery development situation. At first, the paper carefully analyzes the existing problems in the day surgery process in the day ward of the Children’s Hospital of Nanjing Medical University. And then, the concerns of doctors, nurses, anesthesiologists and other hospital staff in day ward, children and their parents are considered. Based on Bayesian decision-making theory, this paper optimizes the pre-admission evaluation of sick children and hospitalization process for day surgery in Nanjing Children’s Hospital. Moreover, the specific optimization process is designed. After the optimizations, it can be seen that the time consumption of each step of the hospitalization process in day surgery is reduced. Thus, the hospital stay of sick children are significantly reduced, and the operation cost is reduced. In addition, the first preoperative preparation time and the average time of receiving children were reduced in day ward. The satisfaction of children’s parents was significantly improved.
Highlights
The concept of day surgery was first proposed by Scottish paediatrician Nicoll in 1909 [1,2]
With the development of day surgery, the extensive decentralized management mode has been unable to meet the needs of the current day surgery development situation
Based on the Bayesian decision tree, this paper carried out research on the above-mentioned problems in the day ward, so as to optimize the treatment process of the day ward, reasonably arrange the operation time, reduce the waiting time of patients, and reduce the medical costs of patients
Summary
The concept of day surgery was first proposed by Scottish paediatrician Nicoll in 1909 [1,2]. IASC, 2022, vol., no.1 guidance of the Health Development Research Center of the National Health and Family Planning Commission, China Ambulatory Surgery Cooperative Alliance was established. Patients were not familiar with the environment and repeatedly asked the nurse about the location and related questions, which led to long preoperative preparation time and affected the process of surgery. Based on the Bayesian decision tree, this paper carried out research on the above-mentioned problems in the day ward, so as to optimize the treatment process of the day ward, reasonably arrange the operation time, reduce the waiting time of patients, and reduce the medical costs of patients.
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