浅析构建医院内审评价体系的实践与体会  

Practice and Experience of Constructing Hospital Internal Evaluation System

作　　者：唐琴 沈乐冲 王志刚 周学健 TANG Qin;SHEN Lechong;WANG Zhigang;ZHOU Xuejian(Quality Management Office,Jiangsu Cancer Hospital,Nanjing,Jiangsu,210009)

机构地区：[1]江苏省肿瘤医院质量管理办公室,江苏南京210009

出　　处：《江苏卫生事业管理》2022年第12期1626-1629,共4页Jiangsu Health System Management

基　　金：江苏省肿瘤医院2020年度院科研基金项目(ZG202008)。

摘　　要：目的:以江苏省某三级甲等肿瘤专科医院为例,研究该院内审评价工作对质量与安全管理工作的促进作用。方法:运用专家访谈法了解该院质量管理现状,建立内审评价体系,运用个案追踪、对比分析等质量管理工具、方法开展内审评价活动。结果:通过深入开展内审评价活动,职能管理部门及临床科室均提升了质量管理水平,医务人员医疗质量及医疗安全意识明显提高。结论:内审评价体系的建立,可及时发现问题、解决问题,完善质量管理体系,改造优化流程,提升医院质量与安全水平。Objective:To study the promotion effect of internal evaluation work on hospital quality and safety management by taking a certaintertiary grade A tumor hospital in Jiangsu Province as an example. Methods:The expert interview method was used to understand the current situation of hospital quality management,and then an internal evaluation system was established,and quality management tools and methods such as case tracking and comparative analysis were used to carry out internal evaluation activities. Results:Through in-depth internal evaluation activities,both functional management departments and clinical departments improved the quality management level,and medical staff’s medical level and medical safety awareness were significantly improved. Conclusion:Establishing an internal evaluation system can detect and solve problems in a timely manner,improve the quality management system,transform and optimize the process,and promote the continuous improvement of hospital quality and safety issues.

关 键 词：质量 安全 内审评价 内审员 

分 类 号：R197.39[医药卫生—卫生事业管理]