手术服务质量安全管理标准研究  

Study on operation service quality and safety management standard

作　　者：刘月辉[1] 张文一[1] 米卫东[2] 何丽[2] 李永斌 李佳[1] 刘丽华[1] Liu Yuehui;Zhang Wenyi;Mi Weidong;He Li;Li Yongbin;Li Jia;Liu Lihua(Hospital Management Institute of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院医院管理研究所,北京100853 [2]解放军总医院医院麻醉手术中心,北京100853 [3]中国医院协会评价与评估部

出　　处：《中华医院管理杂志》2018年第12期979-983,共5页Chinese Journal of Hospital Administration

摘　　要：本研究针对术前、术中、术后过程中的质量安全问题,制定相应的约束标准。应用文献分析、纠纷案例分析、手术不良事件分析、制度标准解读和临床专家调研等方法梳理国内外手术服务中的质量安全问题,按问题的普遍性、高发性、关键性、影响度4个方面筛选出问题要素内容;搭建了以手术服务诊疗流程为主线,以事项要素为节点的标准框架;形成了包括3个环节、8个节点、27个关键要素、82条标准的手术服务质量安全管理标准文本。This study aimed at the quality and safety improvements of surgical services in terms of preoperative, intraoperative and postoperative sections, and at establishing corresponding restraint standards. To this end, such methods as literature analysis, dispute case analysis, surgical adverse event analysis, and system standard interpretation as well as clinical experts survey were called into play, to identify key elements in terms of the universality, high-prevalence rate, criticality and impact degree. A standard framework is established focusing on surgical service and such nodes as key components of the event; a standard text on surgical service quality and safety management is developed, comprising three sections, 8 nodes, 27 key elements and 82 standards.

关 键 词：质量安全 手术服务 问题要素 标准编制 

分 类 号：R197.323[医药卫生—卫生事业管理]