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采用随机抽样方法,选定某军区14所不同等级不同规模的医院,通过对综合效率指标、诊断质量指标、治疗质量指标等19项指标进行分析,存在的问题是:总体加床过多,资源显得浪费,1996年度最为明显;放射等辅诊质量亟需提高,以适应专科技术建设的需要;部分医院对入院标准放得过宽,少数医院编制病床数略示不足;医院感染管理工作明显薄弱;1996年度医院医疗工作形势发展不平衡,工作中存在管理空档和薄弱环节,其中包括病床资源利用不理想,1996年度医疗质量管理中存在“两高两低”现象,即住院病人病死率和治愈者平均住院日升高,抢救成功率和无菌切口甲级愈合率降低等。提出如下对策:进一步强化病床资源的合理配置利用;抓紧医技科室的质量建设,使之能与临床专业同步发展;想方设法尽快纠正1996年医院工作中的“两高两低”现象;大力加强医院感染的监测与管理工作;认真重视病人入院标准的管理。
The random sampling method was used to select 14 hospitals of different scales and sizes in a military region. By analyzing 19 indexes such as comprehensive efficiency index, diagnostic quality index and treatment quality index, the existing problems are: overall extra bed, resources It seems wasteful, the most obvious in 1996; the quality of radiology and other auxiliary needs urgent need to improve to meet the needs of specialist technology; some hospitals put too much standard admission, a few hospitals slightly less than the number of beds; hospital infection management was weak In 1996, there was an imbalance in the development of medical work in hospitals. There were gaps in management and weak links in the work, including unsatisfactory utilization of hospital beds, and the phenomenon of “two highs and two lows” in medical quality management in 1996, that is, in-hospital mortality and The average length of stay of cured patients increased, the success rate of rescue and aseptic incision lower grade healing and so on. Put forward the following countermeasures: to further strengthen the rational allocation of use of hospital beds; pay close attention to the quality of medical departments, so that it can be synchronized with the development of clinical professionals; find ways to rectify the “two highs and two lows” in the work of hospitals as soon as possible; vigorously strengthen the hospital Infection monitoring and management work; serious attention to patient admission standard management.