基于PDCA循环的非计划再次手术管理方法设计与实现  

Design and Implementation of Unplanned Re-operation Management Based on PDCA Cycle

作　　者：刘炜[1] 周彬[1] 蔡敏芳[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院,湖北武汉430022

出　　处：《中国医院管理》2016年第8期34-36,共3页Chinese Hospital Management

摘　　要：目的针对非计划再次手术管理需求设计了一种管理方法。为医院非计划再次手术的管理以及医疗质量改进提供参考。方法参考国家对非计划再次手术管理的相关规范及标准文件,遵循PDCA循环的思想,结合信息技术,最终建立一个"非计划再次手术"专用的管理方法。结果方法实施前后非计划再次手术的发生率有了显著的下降,发生率从方法实施前(2014年下半年)的1.02%降低到方法实施后(2015年7—12月)的0.71%。结论方法有效降低了非计划再次手术发生率,符合医疗管理的需求,有利于提升手术质量,以实现医疗质量的持续性改进。Objective To design an approach to manage unplanned re-operation and provide a new choice for the hospital in order to improve medical service in this field. Methods According to national standard ＆ guide documents and following the thought of PDCA, the paper wants to establish a professional management approach for unplanned re-operation with information technology. Application effect. The incidence rate of unplanned re-operation has increased significantly after this approach application, from 1.02% （the second half of 2014） to 0.71% （the second half of 2015）. Conclusion The management approach in this paper can decrease the incidence rate of unplanned re-operation effectively. The application of this approach could improve medical treatment quality and match the demands of medical management.

关 键 词：非计划再次手术 PDCA循环 持续性改进 

分 类 号：R197.323[医药卫生—卫生事业管理]