PDCA循环法在职业病专科医院危急值管理中的应用  

Application of PDCA cycle in critical value management at an occupational disease specialized hospital

作　　者：王艳艳[1] 曾玉梨[1] 华明[1] 郎丽[1] 王恰[1] 张碧珠[1] WANG Yanyan;ZENG Yuli;HUA Ming;LANG Li;WANG Qia;ZHANG Bizhu(Guangdong Province Hospital for Occupational Disease Prevention and Treatment,Guangzhou 510300,China)

机构地区：[1]广东省职业病防治院,广东广州510300

出　　处：《现代医院》2025年第2期194-197,共4页Modern Hospitals

基　　金：国家临床重点专科建设项目(2011-09)。

摘　　要：目的探讨PDCA循环法在危急值管理中的应用效果。方法对职业病专科医院运用PDCA循环法进行危急值管理,选取2021年10月—2022年3月危急值数据进行现况分析,查找原因,制定整改措施并实施,经PDCA循环管理后2022年7月—2022年11月的危急值数据与管理前的数据进行对比分析,评价PDCA对危急值管理的实施效果。结果运用PDCA循环管理,医技科室危急值执行合格率上升至100.00%,临床科室危急值执行合格率上升至96.77%,与实施前相比,差异均有统计学意义(P<0.05)。结论运用PDCA循环法可提高危急值制度执行合格率,保障患者安全,明显降低医疗风险,同时也提升了我院危急值规范化和精细化管理水平。Objective To evaluate the effectiveness of the PDCA cycle in critical value management.Methods PDCA cycle method was applied to manage critical values in an occupational disease hospital.Critical value data from October 2021 to March 2022 were analyzed to identify root causes,followed by corrective measures development and implementation.Post-intervention data,from July 2022 to November 2022,were compared with the pre-management data to evaluate the implementation effect of the PDCA cycle on critical value management.Results The application of the PDCA cycle led to a statistically significant increase in the execution compliance rate for emergency value execution in medical and technical departments increased to 100.00%,and in the clinical departments to 96.77%(P<0.05).Conclusion PDCA cycle can improve the qualified rate of the implementation of critical value system,ensure patients safety,significantly reduce medical risks,and advance the level of standardization and precision in critical value management within our hospital.

关 键 词：PDCA循环 危急值 持续改进 医疗质量 

分 类 号：R197.5[医药卫生—卫生事业管理] R197.323.4[医药卫生—公共卫生与预防医学]