PDCA及RCA在医院VTE防治精细化管理中的应用  

Application of PDCA and RCA in Fine Management of VTE Prevention and Treatment in Hospital

作　　者：杨旭丽[1] 刘星 伍姗姗[1] 黄祖凤[1] 陈志平 YANG Xuli;LIU Xing;WU Shanshan;HUANG Zufeng;CHEN Zhiping(Quality Control Department,The First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi,330006)

机构地区：[1]南昌大学第一附属医院质控科,江西南昌330006

出　　处：《江苏卫生事业管理》2021年第7期914-917,共4页Jiangsu Health System Management

摘　　要：该院将PDCA循环、根因分析这两个管理工具引入医院静脉血栓栓塞症(VTE)的精细化管理中,形成了以质控科为圆心,围绕圆心的一环为VTE防治管理委员会及VTE快速反应团队、二环为临床科室VTE防治管理小组的同心圆模式的管理体系。以回顾性分析1例医院相关性VTE事件的发生为例,剖析环节中尚存在的缺陷,进行多方位自我检查,健全了医院VTE管理体系,显著提升了全院VTE评估合格率、预防措施实施率,降低了医院相关性VTE发生率、致死性PTE发生率。PDCA cycle and root cause analysis were introduced into the fine management of venous thromboembolism in acertain hospital.The management system of concentric circle mode is formed,which takes the quality control department as the center,the first ring being the VTE prevention and treatment management committee and the VTE rapid response team,the second ring being the clinical department VTE team.A retrospective analysis of the occurrence of a hospital-related VTE event as an example,analysis of the remaining shortcomings in the process,multi-faceted self-examination,and perfected the hospital’s VTE management system.The qualified rate of hospital VTE assessment and the implementation rate of preventive measures were significantly improved,and the incidence of hospital related VTE and fatal PTE were reduced.

关 键 词：PDCA循环 根因分析 静脉血栓栓塞症 VTE 精细化管理 

分 类 号：R197.39[医药卫生—卫生事业管理]