住院医师规范化培训质量控制信息管理系统的构建与应用  

Construction and application of the information management system for quality control in the residency standardized training

作　　者：孙晓靓[1] 康宝丽 孟玮[1] 朱亚琴[1] 罗茜[1] 徐增光[1] 陈义汉[1] 陈迟[1] Sun Xiaoliang;Kang Baoli;Meng Wei;Zhu Yaqin;Luo Xi;Xu Zengguang;Chen Hhan;Chen Chi(Teaching and Training Department, Shanghai East Hospital, Tongji University School of Medicine, Shanghai 200120, China)

机构地区：[1]同济大学附属东方医院教学培训办公室,上海200120

出　　处：《中华医学教育杂志》2018年第2期277-285,共9页Chinese Journal of Medical Education

基　　金：上海市浦东新区卫生系统学科带头人培养计划（PWRd2016-13）;上海市卫生和计划生育委员会（上海市住院医师规范化培训事务中心）科研课题（201540311）

摘　　要：目的构建住院医师规范化培训质量控制信息管理系统，探讨其应用效果，以期提高住院医师规范化培训质量。方法通过鱼骨图和利益相关者分析，寻找影响住院医师规范化培训质量的因素，在此基础上构建信息管理系统，包括8大管理功能模块，实现了与医院其他信息系统的对接。系统使用1年后对100位住院医师、30位教学秘书和7位住院医师培训管理人员进行问卷调查，以了解系统的应用效果。结果94.2% （129/137）的被调查者认为有必要建设信息管理系统，对该系统的总体满意度达89.8% （123/137）；97.1% （133/137）的被调查者认为该系统操作适宜。4项基本管理工作耗时大幅度减少，评教完成及时性由30.0% （54/180）提高到100.0% （180/180）,评语重合度由45.6% （82/180）降至0%（0/180）。登录方式灵活、节约成本、提高效率、清晰流程为该系统的主要优势。结论信息管理系统对住院医师规范化培训的质量控制和提升具有积极的作用。ObjectiveImplement the construction of the information management system for quality control in the residency standardized training, and discuss the application effect of the system, in order to improve the quality of the training.MethodsSearch for the factors affecting the quality of the residency standardized training by the Fishbone Diagram and the Stakeholder Analysis, and according to the factors construct the information management system which not only contains eight management function modules, but also is connected with other hospital information systems. To understand the application effect of the system, 100 residents, 30 teaching secretaries and 7 managerial staff of the training were asked to finish a questionnaire survey a year later.ResultsThe user questionnaires show that 94.2% （129/137） of the survey respondents holds the necessity of the construction of the system, and the overall satisfaction reaches 89.8% （123/137）, and the system operation suitability is 97.1% （133/137）. The working loads in the four basic management tasks are significantly decreased, and the promptness rate of the teaching evaluation increases from 30.0% （54/180） to 100% （180/180）, and the contact ratio of the comments reduces from 45.6% （82/180） to 0% （0/180）. The flexible way of login, cost savings, efficiency improvement, clear process are considered as the main advantages of the system.ConclusionsThe information management system plays a positive role in controlling and promoting the quality of the residency standardized training.

关 键 词：住院医师规范化培训 质量控制 信息管理系统 构建 应用 

分 类 号：R-4[医药卫生] C975[经济管理—劳动经济]