应用品管圈质量管理方法降低X射线影像重照率  

The application of quality management method of quality control circle on reducing re-radiation rate of X-ray

作　　者：林智胜[1] 邓婕[1] 王娜琴 滕婷[1] 赵宇[2] 

机构地区：[1]南京医科大学附属南京明基医院放射科,江苏南京210000 [2]南京医科大学第一临床医学院医学影像学系,江苏南京210000

出　　处：《中国医学装备》2017年第9期36-39,共4页China Medical Equipment

基　　金：江苏省高等学校大学生创新创业训练计划(201510312031Z)"高校五年制医学影像专业学生就业取向及其影响因素调查分析";南京医科大学2015年度教育研究课题(JYQ2015129)"基于E-learning课程平台的医学影像网络教学平台研究";南京医科大学2016年度哲学社会科学发展专项(2017ZSY012)"高校五年制医学影像专业学生就业取向及其影响因素调查分析"

摘　　要：目的:通过应用品管圈质量管理(QCC)方法来降低放射科X射线影像重照率。方法:建立放射诊断科QCC管理机制,全体人员集思广义,使用各项质量管理工具进行分析并提出改善策略进行问题改善,在改善策略执行后检验改善前与改善后的X射线影像重照率,并进行比较以确认成效。结果:改善策略后3个月X射线检查重照率由原来的5.26%降为3.89%,改善辐度为26%。结论:整体QCC改善分为有形及无形的成果,经由改善方案的导入,有效缩短患者影像检查等待时间属于有形的结果,而全组人员在参与QCC管理更成熟的运用各种分析工具和手法,并使得本QCC成员更紧密结合则属无形成果。Objective：To reduce the re-radiation rate of X-ray in department of radiotherapy through applying quality management method of quality control circle （QCC）.Methods： Through establishing QCC of department of radiotherapy, collecting all of advises, using various tools of quality management to analyze problem and propose improvement strategy for improving problem. The re-radiation rates of X-ray between pre-post improvement were compared to confirm the efficiency.Results： The re-radiation rate of X-ray reduced from 5.26% to 3.89% after the improvement strategy was implemented three months, and its magnitude of improvement was 26%.Conclusion：All of the improvement of QCC are divided into tangible result and intangible result. Through the implement of improving scheme, the shortened waiting time of imaging examination is tangible result, and the intangible result is that all of the members can more expertly use various analytical tools and methods and the cooperation is more closely among members during they take part in QCC.

关 键 词：品管圈 X射线影像重照 医疗 改善 

分 类 号：R197.39[医药卫生—卫生事业管理]