PDCA循环管理在医院医学检验质量管理中的应用价值  

Application Value of PDCA Cycle Management in Hospital Medical Labo-ratory Quality Management

作　　者：廖秀琴 刘志胜[2] LIAO Xiuqin;LIU Zhisheng(Department of Laboratory,Tengzhou Center for Disease Control and Prevention,Tengzhou 277599,Shandong,China;Department of Infectious Diseases,Tengzhou Maternal and Child Health Hospital,Tengzhou 277500,Shan-dong,China)

机构地区：[1]滕州市疾病预防控制中心检验科,山东滕州277599 [2]滕州市妇幼保健院感染性疾病科,山东滕州277500

出　　处：《中国卫生产业》2024年第15期25-28,共4页China Health Industry

摘　　要：目的探究医院医学检验质量管理中PDCA循环管理的价值。方法选取2023年7月—2024年6月滕州市妇幼保健院市疾病预防控制中心检验科20名医务人员为研究对象,2023年7—12月实施常规管理模式为参考组,2024年1—6月实施PDCA管理模式为调查组,两组各选取500份医学检验标本作为样本,对比两组管理质量、管理不合格率及类型、管理满意率。结果调查组流程管理、检验管理、技能管理以及标本管理评分均高于参考组,差异有统计学意义(P均<0.05)。调查组门诊标本不合格率为2.48%(5/202),住院标本不合格率为1.69%(3/178),体检标本不合格率为1.67%(2/120),均低于参考组的7.00%(14/200)、6.67%(12/180)、9.17%(11/120),差异有统计学意义(χ^(2)=4.569、5.332、6.588,P均<0.05)。调查组标本污染率低于参考组,差异有统计学意义(P<0.05)。调查组管理满意率高于参考组,差异有统计学意义(P<0.05)。结论PDCA循环管理执行后所产生的标本不合格事件较少,能维持较高检验管理质量,可提高工作人员对医学检验管理的满意率。Objective To explore the value of PDCA cycle management in hospital medical laboratory quality manage-ment.Methods Twenty medical personnel from Tengzhou Maternal and Child Health Hospital from July 2023 to June 2024 were selected as the research subjects,the conventional management mode implemented from July to December 2023 was selected as the reference group,and the PDCA management mode implemented from January to June 2024 was selected as the investigation group.500 medical test specimens were selected for each of the two groups.Manage-ment quality,management failure rate and type,management satisfaction rate were compared between the two groups.Results The scores of process management,inspection management,skill management and specimen management in the investigation group were higher than those in the reference group,and the differences were statistically significant(all P<0.05).The unqualified rate of outpatient specimens in the investigation group was 2.48%(5/202),the unquali-fied rate of inpatient specimens was 1.69%(3/178),and the unqualified rate of physical specimens was 1.67%(2/120),which were lower than 7.00%(14/200),6.67%(12/180)and 9.17%(11/120)in the reference group,and the difference was statistically significant(χ^(2)=4.569,5.332,6.588,all P<0.05).The specimen contamination rate in the investigation group was lower than that in the reference group,and the difference was statistically significant(P<0.05).The manage-ment satisfaction rate of the investigation group was higher than that of the reference group,and the difference was sta-tistically significant(P<0.05).Conclusion The implementation of PDCA cycle management results in fewer instances of specimen non conformities,which can maintain a high quality of laboratory management and improve the satisfac-tion rate of staff with medical laboratory management.

关 键 词：医学检验 满意率 质量管理 不合格率 PDCA循环管理 

分 类 号：R19[医药卫生—卫生事业管理]