Refined management practice in daytime surgery under the five-three-three management model:a case study of the first institute of Zhejiang university
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3969/j.issn.1671-332X.2024.11.023
   		
        
        	
        		- VernacularTitle:基于五-三-三模式的日间手术精细化管理实践探析
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Xiaolian ZHANG
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Lusha ZHANG
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 浙江大学医学院附属第一医院 浙江 杭州 310003
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		High quality development;
			        		
			        		
			        		
				        		Performance evaluation;
			        		
			        		
			        		
				        		Refined management;
			        		
			        		
			        		
				        		Day surgery;
			        		
			        		
			        		
				        		Admission management
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Modern Hospital
	            		
	            		 2024;24(11):1716-1718
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Objective To explore the impact of implementing a refined management mode on the proportion of daytime surgery in elective surgery.Methods The"Five-Three-Three Management Model,including top-level design,system planning,key elements,information transformation,and data monitoring,was strictly followed to ensure the safety of daytime operations,efficient information exchange,and orderly coordination between patient admission and discharge.Pre-hospital anesthesia consul-tations were also introduced to enhance the timeliness and safety and maintain data monitoring of daytime surgeries.Results In 2023,the proportion of day surgeries was 21.85%,an increase of 7.14%compared to 2021,with an average hospitalization du-ration decrease of 5.62%,and a 27.60%reduction in preoperative waiting time for bed.These advancements contributed to the hospital's the hospital's national exam ranking rising to second in the country.Conclusion Comprehensive and systematic re-fined management measures,with the Five-Three-Three management model at the core,can ensure the quality,safety,and effi-ciency of day surgery operations.