基于全面质量管理理念的某三级甲等医院手术分级管理实践探索  

The practice and exploration of surgery grading management in a tertiary hospital based on the concept of TQM

作　　者：李净 肖良成[1] 李礼安[1] 杨洁[1] 曾庆良[1] 刘大钺[1] Li Jing;Xiao Liangcheng;Li Li'an;Yang Jie;Zeng Qingliang;Liu Dayue(The First Affiliated Hospital,Sun Yat-sen University,Guangzhou 510000,Guangdong Province,China)

机构地区：[1]中山大学附属第一医院,广州510000

出　　处：《中国医疗管理科学》2025年第2期55-61,共7页Chinese Journal Of Medical Management Sciences

摘　　要：目的探讨某大型综合三级甲等医院基于全面质量管理(TQM)理念的手术分级管理及实践效果。方法以TQM理念强调的全面、全员、全程管理为指导,以中山大学附属第一医院为研究对象,介绍落实手术分级组织管理、人员授权、环节质控的具体举措和实践效果。结果建立了全院统一的手术分级目录库,医院具有三、四级手术权限医师占比提高16.82%,三、四级手术占比增幅30.28%,手术患者并发症发生率降幅45.95%,非计划再次手术发生率降幅48.61%,手术患者死亡率降幅33.33%。结论通过将TQM理念融入手术分级管理过程,可提升医疗机构手术质量与安全管理水平,保障手术患者安全。Objective To explore the surgical grading management and practical effects based on the Total Quality Management(TQM)concept in a large comprehensive tertiary hospital.Methods Guided by the comprehensive,full-time,and full management of the TQM concept,the First Affiliated Hospital,Sun Yat-sen University was the research object.Specific measures and practical effects of the implementation of surgical hierarchical organization management,personnel authorization,and link quality control were introduced.Results The unified surgery class directory library was established in the hospital.The hospital had a proportion of doctors with level 3 and 4 surgery permissions increased by 16.82%,and the level 3 and 4 surgeries accounted for 30.28%.The incidence of complications was reduced by 45.95%,the incidence of unplanned reoperation was reduced by 48.61%,and the mortality of surgically treated patients decreased by 33.33%.Conclusion By integrating the TQM concept into the management process of surgery,it can improve the quality and safety management level of medical institutions and ensure the safety of surgically treated patients.

关 键 词：TQM 手术分级管理 医疗质量与安全 患者安全 医疗管理 

分 类 号：R197.3[医药卫生—卫生事业管理]