某三级中医医院实施手术分级管理的实践探索  

Hierarchical management of surgery in a tertiary Traditional Chinese Medicine hospital

作　　者：张雄峰 谢敏 黄礼明 王思琪 周晓茜 邓茜 杨进 Zhang Xiongfeng;Xie Min;Huang Liming;Wang Siqi;Zhou Xiaoqian;Deng Qian;Yang Jin(Second Clinical Medical College,Guizhou University of Traditional Chinese Medicine,Guiyang 550003,Guizhou Province,China;University Town Affiliated Hospital,Guizhou University of Traditional Chinese Medicine,Guiyang 550003,Guizhou Province,China)

机构地区：[1]贵州中医药大学第二临床医学院,贵阳550003 [2]贵州中医药大学大学城医院,贵阳550003

出　　处：《中国医疗管理科学》2024年第4期51-56,共6页Chinese Journal Of Medical Management Sciences

基　　金：贵州省哲学社会科学规划课题(2020006)。

摘　　要：手术分级管理制度在医院手术管理体系中发挥着关键作用,涉及手术实施人员的资质认证、手术分级、手术过程的管理以及手术结果的追踪等内容。针对2019年前手术分级管理工作存在的组织结构不够紧密、授权方式较为单一、信息化建设不足等问题,自2019年起医院优化了医疗质量管理委员会组织结构,形成了手术名称—ICD编码—医保编码对应关系的手术分级目录,实行了动态的手术授权管理,加强了信息化建设。经过实践和探索,医院在手术数量和质量方面均取得了一定的提高。The hierarchical management of surgery is a critical component of a hospital's surgical management system,involving the certification of surgical personnel,the grading of surgical procedures,the oversight of the surgical process,and the tracking of surgical outcomes.Targeting the deficiencies in the pre-2019 surgical management,including a lack of robust organizational structure,a limited array of authorization approaches,and inadequate informatization efforts,our hospital implemented a series of reform measures,including re-organization of the medical quality management committee,development of a surgical grading catalog with mappings among operation names,ICD codes,and medical insurance codes,introduction of dynamic surgical authorization pathways,and reinforcement of informatization initiatives.These changes have led to notable enhancements in both the volume and quality of surgical procedures,as evidenced by practical application and ongoing exploration.

关 键 词：手术分级管理 手术授权 质量监测 医疗管理制度 

分 类 号：R197.4[医药卫生—卫生事业管理]