内科主任疑难病例查房质量标准的建立与应用  

Establishment and practice of quality standards for ward-rounds headed by department head of internal medicine

作　　者：刘涛[1] 范庆庆[1] 汪爱勤[1] 

机构地区：[1]解放军总医院,北京100853

出　　处：《中华医院管理杂志》2013年第12期900-902,共3页Chinese Journal of Hospital Administration

基　　金：解放军总医院2013年科技创新基金项目

摘　　要：疑难病例在大型医院内科系统的患者中占有较大比例。加强科室主任对疑难病例患者的查房，是保证医疗治疗安全的基础，也是提高运营效益、减少医疗纠纷隐患的重要措施。解放军总医院着眼提高内科疑难病例的诊治效率，从查房行为和病历记录两个维度，建立内科疑难病例科室主任查房质量标准，并在实践中应用，取得了较好的效果，医疗质量指标改善，患者满意度上升。Difficult cases are frequently found at the department of internal medicine of large hospitals. Better quality of ward-rounds by these department heads is key to medical safety, to better operations, and to reducing medical disputes incurred by malpractice. Focusing on standardizing wardround behavior and medical records, the People＇s Liberation Army General Hospital established and applied the Quality Standards of Ward-rounds on difficulty cases, which scored expected outcomes of better quality of care and better patient satisfaction.

关 键 词：疑难病例 查房 标准 

分 类 号：R197.3[医药卫生—卫生事业管理]