PDCA循环管理在提高床均医疗质量安全不良事件上报例数中的应用效果  

The Application Effect of PDCA Cycle Management in Increasing the Number of Reported Adverse Events of Average Bed Medical Quality and Safety

作　　者：林晓云[1] 包浔娜[1] 庄海虹 罗梓菁 陈金妙 LIN Xiaoyun;BAO Xunna;ZHUANG Haihong;LUO Zijing;CHEN Jinmiao(Department of Quality Control,Guangdong Agricultural Reclamation Center Hospital,Zhanjiang Guangdong 524002,China)

机构地区：[1]广东省农垦中心医院质控科,广东湛江524002

出　　处：《中国卫生标准管理》2024年第8期70-73,共4页China Health Standard Management

摘　　要：目的根据等级医院评审和三级公立医院绩效考核的要求,研究计划-实施-检查-处理(Plan-Do-Check-Action,PDCA)循环管理在提高床均医疗质量安全不良事件上报例数中的应用效果。方法选取广东省农垦中心医院2021年1—12月床均医疗质量安全不良事件上报例数进行现状分析,并制定改进措施,持续监测;再选取2022年1—12月的床均医疗质量安全不良事件报告情况,通过对比改进前后验证PDCA循环法的作用效果。结果2022年1—12月医疗质量安全不良事件上报例数为887例,季度床均医疗质量安全不良事件报告例数分别为:第一季度15.5例,第二季度21.0例,第三季度19.4例,第四季度32.8例。2021—2022年床均医疗质量安全不良事件上报例数呈上升趋势。2022年1—12月医院不良事件上报例数高于2021年1—12月,差异有统计学意义(P<0.05)。结论运用PDCA循环的管理思路能有效提高床均医疗质量安全不良事件上报例数,加强医疗安全,提高服务质量。Objective According to the requirements of hierarchical hospital evaluation and performance evaluation of tertiary public hospitals,the application effect of Plan-Do-Check-Action(PDCA)cycle management in improving the number of reported adverse events of average bed medical quality and safety was studied.Methods The number of adverse medical quality and safety events reported per bed in Guangdong Agricultural Reclamation Center Hospital from January to December 2021 was selected to analyze the current situation,and improvement measures were developed for continuous monitoring.Then select the medical quality and safety adverse event reports from January to December 2022,and verify the effect of PDCA cycle method by comparing before and after improvement.Results The number of reported adverse medical quality and safety events from January to December 2022 was 887,and the quarterly average number of reported adverse medical quality and safety events was 15.5 in the first quarter,21.0 in the second quarter,19.4 in the third quarter,and 32.8 in the fourth quarter.The number of reported adverse medical quality and safety events per bed from 2021 to 2022 shows an upward trend.The number of reported adverse events in hospitals from January to December 2022 was higher than that from January to December 2021,the difference was statistically significant(P<0.05).Conclusion The management concept of PDCA cycle can effectively increase the number of reported adverse events of average bed medical quality and safety,strengthen medical safety,and improve service quality.

关 键 词：PDCA循环管理 床均医疗质量 安全不良事件 上报例数 医疗安全 服务质量 

分 类 号：R197[医药卫生—卫生事业管理]