提高胸片甲级片率  

Increasing First Film Rate of Chest X - Ray

作　　者：侯仁花[1] 续晋铭[1] 卢晓玲[1] 

机构地区：[1]同济大学附属杨浦医院,上海200000

出　　处：《中国卫生质量管理》2015年第F09期9-14,共6页Chinese Health Quality Management

摘　　要：成立品管圈，通过文献查阅及公式计算，确定活动目标值为62．1％。通过解析得到5项真因：技术员未认真摆位；受检者无法站立或站立不稳；受检者多，工作量大；颈链未去除；缺乏明确的奖惩制度。从两大方面进行改进：制定合理的奖惩制度和培训考核机制；在机房等场地张贴标识提醒技术员和受检者去除体表异物。放射科胸片甲级片率由30．5％提高至63．5％，提高了放射科质控成绩。圈员能熟练运用多种品管圈工具来发现、分析直至解决问题，激发了积极性与创新力，增强了集体归属感，提高了团队凝聚力。The quality control circle （QCC） was established, and through literature review and tormulas calculation, the target of 62.1% was determined. The true causes was obtained by analysis which includedincorrect placementby technician, the subject unable to stand or standing firm,large workload; unremovednecklaces, lack of specific rewards and penalties. The im- provements included development of a reasonable reward system and training assessment mechanisms,post of logoin the engine room and other related venuesto remind technicians andremovingforeign manersfrom the surface of subjects. The first film rate of chest X - ray in the Department of Radiologyincreased from 30.5% to 63.5%, which improved the quality control effect. The circle members eouht skillfully use a variety of QCC tools to diseover, analyze and solve problems, their enthusiasm and creativity were strengthened, the collective sense of belonging was also strengthened, and team cohesiveness was improved.

关 键 词：放射科 胸片 甲级片率 

分 类 号：R814[医药卫生—影像医学与核医学]