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某三级综合医院行政总值班管理现状分析与对策研究

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目的 了解某三级综合医院行政总值班管理现状,为优化总值班管理制度提供理论依据.方法 通过匿名线上方式对该院总值班人员开展问卷调查.结果 共发放问卷55份,收回有效问卷50份.单因素分析结果显示,不同职级和专业背景的值班人员对总值班制度和职责的熟悉度差异有统计学意义(P<0.05);不同学历、职级及专业背景的值班人员对医疗核心制度和常见医疗流程的熟悉度差异均有统计学意义(P<0.05);不同本单位工作年限的值班人员对常见行政流程的熟悉度差异有统计学意义(P<0.05);在各类应急预案熟悉情况和总值班工作压力感受情况方面,不同组别的总值班人员熟悉度/感受度差异均无统计学意义(P>0.05).认为总值班培训非常有必要的值班人员占80.0%(40人),有50.0%的值班人员认为应当至少每年培训1次,值班人员最希望被培训的内容排名前3位的为各类应急预案、总值班制度职责及医患沟通讲解.危急重症及"三无"患者的抢救、突发公共卫生事件处置和突发安全事件处置三类事件是难度得分前3位的事件类型,同时也是总值班人员认为最需要优化或更新处置流程的事件.结论 该三级综合医院需进一步加强总值班队伍建设,扩大临床专业背景人员和青年管理干部占比;重视总值班人员业务培训,及时完善应急突发事件处理流程;建立科学闭环的总值班管理体系,提升医院管理质量和效率.
Current situation analysis and countermeasure research of administrative general duty management in a tertiary general hospital
Objective To understand the current situation of administrative general duty management in a tertiary general hospital,and to provide a theoretical basis for optimizing the general duty management system.Methods An anonymous online questionnaire survey was conducted for the chief duty staff of the hospital.Results A total of 55 questionnaires were issued and 50 valid questionnaires were recovered.The re-sults of univariate analysis showed that there was a statistically significant difference in the familiarity of duty personnel with different job levels and professional backgrounds with the overall duty system and responsibili-ties(P<0.05).There were statistically significant differences in the familiarity of duty personnel with differ-ent educational backgrounds,job levels,and professional backgrounds with the core medical system and com-mon medical processes(P<0.05).There was a statistically significant difference in the familiarity of duty per-sonnel with common administrative processes among those who have worked in different units for different years(P<0.05).There was no statistically significant difference in the familiarity/perception of various emer-gency plans and the overall shift pressure among different groups of personnel on duty(P>0.05).80.0%(40 people)of the on-duty personnel believed that overall duty training was very necessary,and 50.0%of them believed that training should be conducted at least once a year.The top three topics that duty personnel most hope to receive training on were various emergency plans,overall duty system responsibilities,and doctor-patient communi-cation explanations.The rescue of critically ill and non-critically ill patients,the handling of sudden public health emer-gencies,and the handling of sudden safety incidents were the top three types of events with difficulty scores,and they were also the events that the overall shift personnel believe need to optimize or update the disposal process the most.Conclusion The hospital should further strengthen the construction of the general duty team,expand the proportion of clinical professional background personnel and young management cadres,pay attention to the business training of the chief duty personnel,and improve the emergency handling process in time,and establish a scientific closed-loop general duty management system to improve the quality and efficiency of hospital management.

General administrative dutyHospital administrationQuestionnaire survey

杨家钰、王虎

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武汉大学中南医院,湖北 武汉 430076

行政总值班 医院行政管理 问卷调查

2024

现代医药卫生
重庆市卫生信息中心

现代医药卫生

影响因子:0.758
ISSN:1009-5519
年,卷(期):2024.40(6)
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