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创"三甲"医院导向下构建专业质控指标体系的实践与思考

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新版三级医院评审标准已将医疗机构各专业医疗质控指标全部纳入,对医院信息化提取数据和质控工作水平提出了更为具体、细化、全方面的要求,对各专科建立了更严谨的监管和预警机制。文章以某院创建三级甲等医院的契机,简述某院创建三甲医院期间对专业医疗质控指标管理的实践与思考,初步解决了临床医技科室各专业的医疗质量控制指标数据的准确提取和验证的过程中存在的问题与困难,并利用数据趋势为导向持续改进,实现医疗质量闭环管理。通过构建专业质控指标体系,提升医疗质量管理水平,为医院管理者提供决策。
Exploration and reflection on building a professional quality control index system under the guidance of creating a"third class"hospital
The new version of the tertiary hospital evaluation standards has included all the medical quality control indi-cators of all specialties in medical institutions,put forward more specific,detailed and comprehensive requirements for hospital information extraction data and quality control work level,and established a more rigorous supervision and early warning mecha-nism for each specialty.Taking the opportunity of the establishment of a Grade-Ⅲ hospital in our hospital,this study briefly de-scribes the practice and thinking of the management of medical quality control indicators of various specialties during the estab-lishment of a Grade-Ⅲ hospital in our hospital,preliminarily solves the problems and difficulties in the process of accurate extrac-tion and verification of medical quality control index data of various specialties in clinical medical technology departments,and makes continuous improvement guided by data trends.Realize closed-loop management of medical quality.Through the construc-tion of professional quality control index system,improve the level of medical quality management and provide decision-making for hospital managers.

Grade hospital evaluationProfessional quality control indexMonitoring dataMedical quality

罗丽、杨省、陈春丽、谢彤、冯伟明

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玉林市第二人民医院 广西玉林 537000

等级医院评审 专业质控指标 监测数据 医疗质量

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(12)