diff --git a/apps/web/src/pages/health/AppointmentList.tsx b/apps/web/src/pages/health/AppointmentList.tsx
index 789508d..ddfcce9 100644
--- a/apps/web/src/pages/health/AppointmentList.tsx
+++ b/apps/web/src/pages/health/AppointmentList.tsx
@@ -28,6 +28,7 @@ import { DrawerForm } from '../../components/DrawerForm';
 import { EntityName } from '../../components/EntityName';
 import { formatDateTime } from '../../utils/format';
 import { usePaginatedData } from '../../hooks/usePaginatedData';
+import { useApiRequest } from '../../hooks/useApiRequest';
 
 /** 预约类型选项 */
 const APPOINTMENT_TYPE_OPTIONS = [
@@ -127,6 +128,8 @@ export default function AppointmentList() {
     },
   });
 
+  const { execute } = useApiRequest();
+
   const handleFilterChange = useCallback(
     (key: keyof AppointmentFilters, value: unknown) => {
       setFilters((prev) => ({ ...prev, [key]: value }));
@@ -168,17 +171,15 @@ export default function AppointmentList() {
         okText: '确认',
         cancelText: '取消',
         onOk: async () => {
-          try {
-            await appointmentApi.updateStatus(record.id, {
+          const result = await execute(
+            () => appointmentApi.updateStatus(record.id, {
               status: newStatus,
               version: record.version,
               ...(newStatus === 'cancelled' && { cancel_reason: cancelReason }),
-            });
-            message.success('状态更新成功');
-            refresh();
-          } catch {
-            message.error('状态更新失败');
-          }
+            }),
+            '状态更新成功',
+          );
+          if (result !== null) refresh();
         },
       });
     } else {
@@ -188,16 +189,14 @@ export default function AppointmentList() {
         okText: '确认',
         cancelText: '取消',
         onOk: async () => {
-          try {
-            await appointmentApi.updateStatus(record.id, {
+          const result = await execute(
+            () => appointmentApi.updateStatus(record.id, {
               status: newStatus,
               version: record.version,
-            });
-            message.success('状态更新成功');
-            refresh();
-          } catch {
-            message.error('状态更新失败');
-          }
+            }),
+            '状态更新成功',
+          );
+          if (result !== null) refresh();
         },
       });
     }
@@ -246,27 +245,26 @@ export default function AppointmentList() {
       message.warning('请选择医护');
       return;
     }
-    try {
-      setSubmitting(true);
-      const req: CreateAppointmentReq = {
-        patient_id: selectedPatientId,
-        doctor_id: selectedDoctorId,
-        appointment_date: (values.appointment_date as Dayjs).format('YYYY-MM-DD'),
-        start_time: (values.start_time as Dayjs).format('HH:mm'),
-        end_time: (values.end_time as Dayjs).format('HH:mm'),
-        appointment_type: (values.appointment_type as string) || 'outpatient',
-        notes: (values.notes as string) || undefined,
-      };
-      await appointmentApi.create(req);
-      message.success('预约创建成功');
+    setSubmitting(true);
+    const req: CreateAppointmentReq = {
+      patient_id: selectedPatientId,
+      doctor_id: selectedDoctorId,
+      appointment_date: (values.appointment_date as Dayjs).format('YYYY-MM-DD'),
+      start_time: (values.start_time as Dayjs).format('HH:mm'),
+      end_time: (values.end_time as Dayjs).format('HH:mm'),
+      appointment_type: (values.appointment_type as string) || 'outpatient',
+      notes: (values.notes as string) || undefined,
+    };
+    const result = await execute(
+      () => appointmentApi.create(req),
+      '预约创建成功',
+    );
+    setSubmitting(false);
+    if (result !== null) {
       setDrawerOpen(false);
       setSelectedPatientId(undefined);
       setSelectedDoctorId(undefined);
       refresh();
-    } catch {
-      message.error('创建预约失败');
-    } finally {
-      setSubmitting(false);
     }
   };
 
diff --git a/apps/web/src/pages/health/FollowUpTaskList.tsx b/apps/web/src/pages/health/FollowUpTaskList.tsx
index 5505aec..bc568a0 100644
--- a/apps/web/src/pages/health/FollowUpTaskList.tsx
+++ b/apps/web/src/pages/health/FollowUpTaskList.tsx
@@ -9,7 +9,6 @@ import {
   DatePicker,
   Space,
   Popconfirm,
-  message,
 } from 'antd';
 import { PlusOutlined, EditOutlined, SwapOutlined, DeleteOutlined } from '@ant-design/icons';
 import type { ColumnsType, TablePaginationConfig } from 'antd/es/table';
@@ -24,6 +23,7 @@ import { EntityName } from '../../components/EntityName';
 import { DrawerForm } from '../../components/DrawerForm';
 import { formatDate, formatDateTime } from '../../utils/format';
 import { usePaginatedData } from '../../hooks/usePaginatedData';
+import { useApiRequest } from '../../hooks/useApiRequest';
 
 const STATUS_OPTIONS = [
   { value: 'pending', label: '待处理' },
@@ -90,6 +90,8 @@ export default function FollowUpTaskList() {
     defaultFilters: {},
   });
 
+  const { execute } = useApiRequest();
+
   // Create task modal
   const [createOpen, setCreateOpen] = useState(false);
   const [createLoading, setCreateLoading] = useState(false);
@@ -113,26 +115,30 @@ export default function FollowUpTaskList() {
 
   // Create task
   const handleCreate = async () => {
+    let values: CreateFollowUpTaskReq;
     try {
-      const values = await createForm.validateFields();
-      setCreateLoading(true);
-      const plannedDate = values.planned_date;
-      await followUpApi.createTask({
+      values = await createForm.validateFields();
+    } catch (err: unknown) {
+      if (err && typeof err === 'object' && 'errorFields' in err) return;
+      return;
+    }
+    setCreateLoading(true);
+    const plannedDate = values.planned_date;
+    const result = await execute(
+      () => followUpApi.createTask({
         patient_id: values.patient_id,
         follow_up_type: values.follow_up_type,
         planned_date: dayjs.isDayjs(plannedDate) ? plannedDate.format('YYYY-MM-DD') : plannedDate,
         assigned_to: values.assigned_to,
         content_template: values.content_template,
-      });
-      message.success('随访任务创建成功');
+      }),
+      '随访任务创建成功',
+    );
+    setCreateLoading(false);
+    if (result !== null) {
       setCreateOpen(false);
       createForm.resetFields();
       refresh(page);
-    } catch (err: unknown) {
-      if (err && typeof err === 'object' && 'errorFields' in err) return; // form validation
-      message.error('创建随访任务失败');
-    } finally {
-      setCreateLoading(false);
     }
   };
 
@@ -144,9 +150,9 @@ export default function FollowUpTaskList() {
 
   const handleRecordSubmit = async (values: Record<string, unknown>) => {
     if (!activeTask) return;
-    try {
-      setRecordLoading(true);
-      await followUpApi.createRecord(activeTask.id, {
+    setRecordLoading(true);
+    const result = await execute(
+      () => followUpApi.createRecord(activeTask.id, {
         executed_date: (values.executed_date as dayjs.Dayjs).format('YYYY-MM-DD'),
         result: values.result as string,
         patient_condition: values.patient_condition as string,
@@ -154,15 +160,14 @@ export default function FollowUpTaskList() {
         next_follow_up_date: values.next_follow_up_date
           ? (values.next_follow_up_date as dayjs.Dayjs).format('YYYY-MM-DD')
           : undefined,
-      });
-      message.success('随访记录填写成功');
+      }),
+      '随访记录填写成功',
+    );
+    setRecordLoading(false);
+    if (result !== null) {
       setRecordOpen(false);
       setActiveTask(null);
       refresh(page);
-    } catch {
-      message.error('填写随访记录失败');
-    } finally {
-      setRecordLoading(false);
     }
   };
 
@@ -178,35 +183,37 @@ export default function FollowUpTaskList() {
 
   const handleAssign = async () => {
     if (!assignTask) return;
+    let values: { assigned_to: string };
     try {
-      const values = await assignForm.validateFields();
-      setAssignLoading(true);
-      const req: UpdateFollowUpTaskReq & { version: number } = {
-        assigned_to: values.assigned_to,
-        version: assignTask.version,
-      };
-      await followUpApi.updateTask(assignTask.id, req);
-      message.success('分配成功');
+      values = await assignForm.validateFields();
+    } catch (err: unknown) {
+      if (err && typeof err === 'object' && 'errorFields' in err) return;
+      return;
+    }
+    setAssignLoading(true);
+    const req: UpdateFollowUpTaskReq & { version: number } = {
+      assigned_to: values.assigned_to,
+      version: assignTask.version,
+    };
+    const result = await execute(
+      () => followUpApi.updateTask(assignTask.id, req),
+      '分配成功',
+    );
+    setAssignLoading(false);
+    if (result !== null) {
       setAssignOpen(false);
       setAssignTask(null);
       refresh(page);
-    } catch (err: unknown) {
-      if (err && typeof err === 'object' && 'errorFields' in err) return;
-      message.error('分配失败');
-    } finally {
-      setAssignLoading(false);
     }
   };
 
   // Delete
   const handleDelete = async (record: FollowUpTask) => {
-    try {
-      await followUpApi.deleteTask(record.id, record.version);
-      message.success('删除成功');
-      refresh(page);
-    } catch {
-      message.error('删除失败');
-    }
+    const result = await execute(
+      () => followUpApi.deleteTask(record.id, record.version),
+      '删除成功',
+    );
+    if (result !== null) refresh(page);
   };
 
   // --- Columns ---
diff --git a/apps/web/src/pages/health/PatientList.tsx b/apps/web/src/pages/health/PatientList.tsx
index a95eb02..35abe94 100644
--- a/apps/web/src/pages/health/PatientList.tsx
+++ b/apps/web/src/pages/health/PatientList.tsx
@@ -9,7 +9,6 @@ import {
   Select,
   Popconfirm,
   DatePicker,
-  message,
 } from 'antd';
 import {
   PlusOutlined,
@@ -29,6 +28,7 @@ import { AuthButton } from '../../components/AuthButton';
 import { PageContainer } from '../../components/PageContainer';
 import { DrawerForm } from '../../components/DrawerForm';
 import { usePaginatedData } from '../../hooks/usePaginatedData';
+import { useApiRequest } from '../../hooks/useApiRequest';
 import { calcAge, formatDateTime } from '../../utils/format';
 import { dayjs } from '../../utils/dayjs';
 
@@ -53,6 +53,9 @@ export default function PatientList() {
   const [editingPatient, setEditingPatient] = useState<PatientDetail | null>(null);
   const [selectedRowKeys, setSelectedRowKeys] = useState<string[]>([]);
 
+  // ---- API 请求 Hook ----
+  const { execute } = useApiRequest();
+
   // ---- 分页数据 Hook ----
   const {
     data: patients,
@@ -125,39 +128,36 @@ export default function PatientList() {
       notes: values.notes as string | undefined,
     };
 
-    try {
-      if (editingPatient) {
-        const req: UpdatePatientReq & { version: number } = {
-          ...payload,
-          version: editingPatient.version,
-        };
-        await patientApi.update(editingPatient.id, req);
-        message.success('患者信息更新成功');
-      } else {
+    const successMsg = editingPatient ? '患者信息更新成功' : '患者创建成功';
+    const result = await execute(
+      async () => {
+        if (editingPatient) {
+          const req: UpdatePatientReq & { version: number } = {
+            ...payload,
+            version: editingPatient.version,
+          };
+          return patientApi.update(editingPatient.id, req);
+        }
         const req: CreatePatientReq = payload;
-        await patientApi.create(req);
-        message.success('患者创建成功');
-      }
+        return patientApi.create(req);
+      },
+      successMsg,
+      '操作失败',
+    );
+    if (result !== null) {
       closeModal();
       refresh();
-    } catch (err: unknown) {
-      const errorMsg =
-        (err as { response?: { data?: { message?: string } } })?.response?.data
-          ?.message || '操作失败';
-      message.error(errorMsg);
     }
   };
 
   const handleDelete = async (id: string) => {
-    try {
-      const patient = patients.find((p) => p.id === id);
-      const version = patient?.version ?? 0;
-      await patientApi.delete(id, version);
-      message.success('患者已删除');
-      refresh();
-    } catch {
-      message.error('删除失败');
-    }
+    const patient = patients.find((p) => p.id === id);
+    const version = patient?.version ?? 0;
+    const result = await execute(
+      () => patientApi.delete(id, version),
+      '患者已删除',
+    );
+    if (result !== null) refresh();
   };
 
   const openCreateModal = () => {
@@ -166,12 +166,14 @@ export default function PatientList() {
   };
 
   const openEditModal = async (record: PatientListItem) => {
-    try {
-      const detail = await patientApi.get(record.id);
+    const detail = await execute(
+      () => patientApi.get(record.id),
+      undefined,
+      '获取患者详情失败',
+    );
+    if (detail) {
       setEditingPatient(detail);
       setModalOpen(true);
-    } catch {
-      message.error('获取患者详情失败');
     }
   };