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目的探讨PDCA循环在藏区医院医疗质量检查中的应用。方法 2014年10月在红原县人民医院医疗质量检查中引入PDCA循环理论,积极收集医疗活动中存在的质量问题,分析原因及影响因素,制定计划;认真落实计划及措施实施;调查实施结果,找出问题进行效果分析;总结检查的结果,对未解决的问题,转入下一个PDCA循环,持续追踪,直至效果满意。参照《四川省二级综合性医院评审标准》,对全院内外科病房医疗质量进行检查分析,对PDCA运用前(2014年7月-9月)和运用后(2014年10月-12月)部分医疗质量检查缺陷发生率进行比较。结果医疗护理文件书写缺陷发生率由12.4%下降到5.9%,差异有统计学意义(P<0.05);医院感染管理缺陷发生率由13.5%下降到5.3%,差异有统计学意义(P<0.05);药品安全管理缺陷发生率由11.8%下降到2.5%,差异有统计学意义(P<0.05)。结论将PDCA循环应用到藏区医院医疗质量检查中,通过发现问题,查找问题发生原因,找到解决问题的方法,持续改进,很大程度上提高了藏区医院医疗质量。
Objective To explore the application of PDCA cycle in medical quality examination in Tibetan hospitals. Methods In October 2014, the PDCA cycle theory was introduced into the medical quality examination of Hongyuan County People’s Hospital to collect the quality problems in medical activities actively. The causes and influencing factors were analyzed, the plans were formulated, the plans and measures were implemented conscientiously, the implementation results were investigated, Find out the problem for the effect analysis; summarize the result of the inspection, and move on to the next PDCA cycle on the unresolved issue and continue to track until the result is satisfactory. With reference to the “Evaluation Criteria for S & T General Hospital of Sichuan Province”, the medical quality of surgical wards in the hospital was examined and analyzed. Before PDCA application (July-September 2014) and after-use (October-December 2014) Medical quality inspection defects were compared. Results The incidence of writing defects in medical nursing documents decreased from 12.4% to 5.9% (P <0.05), and the incidence of hospital infection management defects decreased from 13.5% to 5.3% (P <0.05) ). The incidence of defects in drug safety management dropped from 11.8% to 2.5%, with significant difference (P <0.05). Conclusion Applying PDCA cycle to the medical quality inspection in Tibetan hospitals, finding out the cause of the problem by finding out the problem, finding a solution to the problem and improving continuously improve the medical quality of the hospital in Tibetan area to a great extent.