PDCA循环法在超声浅表器官亚专科建设中的应用  

Application value of PDCA cycle in construction of superficial organ ultrasound subspecialty

作　　者：张丽丽[1] 陈莉[1] 余美琴 聂小艳 王婧玲 刘婷[1] Zhang Lili;Chen Li;Yu Meiqin;Nie Xiaoyan;Wang Jingling;Liu Ting(Department of Ultrasound Medicine,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院超声医学科,330006

出　　处：《中华医学超声杂志（电子版）》2023年第7期717-721,共5页Chinese Journal of Medical Ultrasound(Electronic Edition)

基　　金：2021年江西省教育厅科学技术研究项目(GJJ210117)。

摘　　要：目的探讨PDCA循环法在超声浅表器官亚专科建设中的应用价值。方法随机抽取2017年7月至12月南昌大学第一附属医院超声医学科甲状腺及乳腺结节超声图像及签发报告各50份(共100份),对其进行审阅及评分(≥85分为甲类病例,80~84分为乙类病例,<80分为丙类病例)。2018年6月开始采用PDCA循环法对甲状腺及乳腺结节超声图像存储及签发报告进行医疗质量改进,随机抽取2019年1月至6月甲状腺及乳腺结节超声图像及签发报告各50份(共100份),对其进行审阅及评分。采用独立样本t检验,比较PDCA循环法实施前后甲状腺及乳腺结节超声图像及签发报告评分的差异。结果PDCA循环法实施后,甲状腺及乳腺结节超声图像及签发报告评分高于实施前[(90.87±4.11)分vs(75.84±8.69)分],平均差值为15.03分,差异具有统计学意义(t=15.635,P<0.001)。结论PDCA循环法可明显提高甲状腺及乳腺结节超声图像存储及报告书写质量,有助于浅表器官超声医疗质量提高,在超声浅表器官亚专科建设中发挥了重要作用。Objective To evaluate the application value of PDCA cycle in the construction of superficial organ ultrasound subspecialty.Methods Fifty ultrasound images of thyroid and breast nodules and 50 issued reports were randomly selected at the Department of Ultrasound Medicine of the First Affiliated Hospital of Nanchang University from July to December 2017.They were reviewed and scored(≥85 were classified as class A cases,80-85 as class B cases,and<80 as class C cases).In June 2018,PDCA cycle was adopted to improve the medical quality of thyroid and breast nodule ultrasound image storage and issued reports.Fifty thyroid and breast nodule ultrasound images and 50 issued reports were randomly selected from January to June 2019,reviewed and scored.Independent sample t-test was used to compare the difference in the score between the two groups.Results The average score of ultrasound images of thyroid and breast nodules and issued reports after the implementation of PDCA cycle was significantly higher than that before the implementation of PDCA cycle[(90.87±4.11)vs(75.84±8.69),t=15.635,P<0.001],and the mean difference was 15.030.Conclusion The implementation of PDCA cycle can significantly improve the quality of storage of images of thyroid and breast nodules and report writing,which is helpful to improve the quality of superficial organ ultrasound.PDCA cycle plays an important role in the construction of superficial organ ultrasound subspecialty.

关 键 词：超声检查 质量控制 PDCA 浅表器官 

分 类 号：R197.323[医药卫生—卫生事业管理] R445.1[医药卫生—公共卫生与预防医学]