持续改进危急值临床处置及时性的探讨  

Discussion of the Continual Improvement of Response Promptness on Critical Value in Clinical Procedures

作　　者：汪春兰[1] 李星[1] 张瑜[1] 任宇红 孙耘玉[1] 

机构地区：[1]东南大学附属中大医院质量管理处,江苏南京210009

出　　处：《江苏卫生事业管理》2018年第1期40-42,46,共4页Jiangsu Health System Management

摘　　要："处置及时性"是危急值管理的一个重要切入点,其实现有赖于医务人员危急值处置的主观意识以及细化的处置流程。作者通过介绍该院强化危急值管理的工作思路,依据危急值管理重点将该项工作划分为医技科室危急值的及时处置、临床科室危急值的及时处置两个阶段。同时详述针对提高临床危急值处置工作重点,医院采取的质量管理方式,如根因分析、指标筛选、数据分析等。通过医院质量管理的持续改进,危急值上报的流程进一步完善,医务人员危急值管理知晓率显著提升,危急值接收登记率明显提高,医务人员处置危急值平均时间缩短,差异有统计学意义(P<0.05)。One of the pointcut on critical value management is response promptness,which depends both on critical value consciousness and process management. This paper introduces the work method of critical value management in the hospital. The critical value management emphasized on two different points,one was sample collection and tested result delivery in time by medical laboratory,the other was result obtaining and clinic treatment in time by clinical departments. Moreover,this paper describes management approach in the hospital,including root cause analysis,index selection,data comparison,as the target of response promptness enhancement in clinical department. Attribute to the improvement of quality management,the process of critical value management became more precisely,the awareness rate of critical value management was promoted,registration rate of critical value was increased,the average response time of critical value was shortened,the difference was statistically significant.

关 键 词：医院 危急值 处置及时性 质量管理 

分 类 号：R197.39[医药卫生—卫生事业管理]