基于医疗质量安全改进目标的三甲综合医院肿瘤多学科管理新路径探索  

A new approach of multidisciplinary tumor management in top three general hospitals based on the improvement of medical quality and safety

作　　者：王爱欣 李静[1] 王瑞瑶 孙红玉[1] WANG Aixin;LI Jing;WANG Ruiyao;SUN Hongyu(The Fourth People’s Hospital of Jinan,Jinan 250000,China)

机构地区：[1]济南市第四人民医院,山东济南250000

出　　处：《现代医院》2025年第3期355-359,共5页Modern Hospitals

基　　金：济南市卫生健康委员会大数据科技计划项目(2023-BD-1-05)。

摘　　要：目的旨在结合某医院肿瘤多学科诊疗(multi-disciplinary treatment,MDT)管理经验及国家医疗质量安全改进目标提高肿瘤治疗前临床TNM分期评估率、四级手术术前多学科讨论完成率,探索三级甲等综合医院肿瘤MDT管理新方法。方法通过回顾性分析自2021年11月—2024年9月肿瘤MDT患者及初诊恶性肿瘤病历质控情况,评价该时间段内初诊恶性肿瘤患者MDT率及TNM分期率。结果在组建专家及秘书团队、制定工作制度、院内监督执行下,至2024年9月初诊恶性肿瘤患者MDT率达到82.35%,TNM分期率达到94.44%。结论在制度和团队助力下,不断提高恶性肿瘤患者MDT率及TNM分期率,推进恶性肿瘤诊治规范化、同质化,切实完善、提升医院肿瘤诊疗服务水平,推动恶性肿瘤多学科交叉领域诊疗技术的发展。Objective The aim was to explore a new method of tumor MDT management in a third-class comprehensive hospital by combining the experience of tumor MDT management in a certain hospital and the national medical quality and safety improvement goals of improving the rate of clinical TNM staging assessment before tumor treatment and improving the rate of preoperative multidisciplinary discussion completion for grade IV surgery.Methods By retrospectively analyzing the quality control of MDT patients and the medical records of newly diagnosed malignant tumors from November 2021 to September 2024,the MDT rate and TN staging rate of newly diagnosed malignant tumors during this period were evaluated.Results By establishing expert and secretary teams,formulating work systems,and supervising their implementation within hospital,the MDT rate for newly diagnosed malignant tumors reached 82.35%by September 2024,and the TNM staging rate reached 94.44%.Conclusion With the help of the system and team,the MDT rate and TNM staging rate of malignant tumor patients were continuously improved,the standardization and homogeneity of the diagnosis and treatment of malignant tumors were promoted,the level of tumor diagnosis and treatment services in a certain hospital was effectively improved and promoted,and the development of the diagnosis and treatment technology of malignant tumors in the field of multi-disciplinary intersection was promoted.

关 键 词：肿瘤治疗 肿瘤MDT TNM分期 

分 类 号：R657.5[医药卫生—外科学]