基于住培过程考核质量关键要素的“链式”管理系统升级实践  

Practice of upgrading the"chain-style"management system based on the key elements of process assessment quality of resident training

作　　者：陈璐 黎尚荣[2] 杨补[2] 王倩[1] 姚瑶[1] Chen Lu;Li Shangrong;Yang Bu;Wang Qian;Yao Yao(Continuing Education Section,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China;Medical Simulation Center,The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)

机构地区：[1]中山大学附属第三医院继续教育科,广州510630 [2]中山大学附属第三医院临床技能中心,广州510630

出　　处：《中华医学教育探索杂志》2025年第3期295-301,共7页Chinese Journal of Medical Education Research

基　　金：2022年广东省住院医师规范化培训指令性课题(ZP202205);2022年度教育部产学合作协同育人项目(220901449091156)。

摘　　要：过程考核是住院医师规范化培训中的关键环节,把握过程考核中的关键要素有利于提高培训质量。基于全面质量管理理论,并遵循《住院医师规范化培训基地标准(2022年版)》的要求,中山大学附属第三医院在原“链式”管理系统的基础上进行改进与升级,细化入科管理,提高关键要素出科考核及时应考率,强化关键要素出科考核部分结果的关注度,落实指导医师对住院医师手写大病历的指导,将新“链式”管理系统与临床真实病例对接。升级后的管理系统满意度较高,住院医师出科考核的应考率和住院医师的培养质量均有所提高,这充分体现了全流程信息化管理水平和信息数据管理能力的显著提升。Process assessment is an important part of standardized resident training,and paying attention to the key elements of process assessment is conducive to improving the quality of training.Based on total quality management theory and the requirements of the Standards for Standardized Resident Training Bases(2022 Edition),The Third Affiliated Hospital of Sun Yat-sen University made improvements and upgrades on the basis of the original"chain"management system.These included refining the management at the entry of a clinical department,improving the timely examination rate of key elements when leaving the clinical department,strengthening the attention paid to the results of the examination of key elements when leaving the clinical department,implementing the guidance of supervising physicians on the handwritten medical records of residents,and interconnecting the"chain"management system with the actual clinical cases.The upgraded management system had a high level of satisfaction,and the timely examination rate for resident assessment and the quality of resident training were improved,which reflects improvements in the level of information management of the whole process and the management ability of information and data.

关 键 词：住院医师规范化培训 过程考核 关键要素 全面质量管理 信息化建设 

分 类 号：R-4[医药卫生]