[1]夏婷李庚许靖宇夏慧琳高关心.某三级医院CT与MRI使用现状评估及改进建议[J].中国卫生质量管理,2021,28(07):10-13.[doi:10.13912/j.cnki.chqm.2021.28.7.03 ]
　XIA Ting,LI Geng,XU Jingyu.Evaluation of CT and MRI Usage in a Tertiary Hospital and Suggestions for Improvement[J].Chinese Health Quality Management,2021,28(07):10-13.[doi:10.13912/j.cnki.chqm.2021.28.7.03 ]

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某三级医院CT与MRI使用现状评估及改进建议

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 第28卷期数: 2021年07期页码: 10-13 栏目: 特别关注出版日期: 2021-07-28

Title:: Evaluation of CT and MRI Usage in a Tertiary Hospital and Suggestions for Improvement

作者:: 夏婷李庚许靖宇夏慧琳高关心; 内蒙古自治区人民医院

Author(s):: XIA Ting; LI Geng; XU Jingyu; Inner Mongolia People's Hospital, Hohhot

关键词:: 卫生技术评估; 大型影像设备; CT; MRI; 医疗流程管理

Keywords:: Health Technology Assessment; Large Imaging Equipment; CT; MRI; Medical Process Improvement

分类号:: R197.39

DOI:: 10.13912/j.cnki.chqm.2021.28.7.03

文献标志码:: B

摘要:: 目的对某三级医院CT和MRI临床使用数据进行分析评估，并提出医疗流程改进建议。方法利用信息采集装置收集CT和MRI动态数据，利用OriginPro 9.1软件进行数据整理分析。结果CT和MRI平均每日单台检查患者例数分别为92例和15例；1周内检查患者例数时间分布存在单天数量较多情况；CT和MRI总工作占比周分布分别约为31%和62%。结论CT和MRI均存在工作量分布不均匀、单台设备检测例数较低、1周内单天检测例数分布不均匀、非工作时间较长等问题。建议对每台设备工作量进行重新划分，使用患者预约软件合理分布1周内患者诊疗数量，进一步提高设备每日检查量和工作占比。

Abstract:: Objective To analyze the clinical use data of CT and MRI in a tertiary hospital to put forward suggestions for medical process improvement.MethodsThe CT and MRI dynamic data were collected by the information acquisition device, and the data were analyzed by the OriginPro 9.1 software.ResultsThe average numbers of patients with CT and MRI daily examination were 92 and 15, respectively. The time distribution of the number of patients examined within one week showed a large number in a single day. The weekly distribution of CT and MRI work were about 31% and 62%, respectively.Conclusion Both CT and MRI had problems such as uneven workload distribution, low number of testing cases on a single device, uneven distribution of testing cases on a single day within a week, and long non-working time. It was suggested that the workload of each device should be redivided, the patient appointment software should be used to reasonably distribute the number of patients diagnosed and treated within a week, and the daily inspection quantity and work ratio of the equipment should be further increased.

参考文献/References:

［1］杨坤，吴晓芬，邵蕾.基于大型设备日志分析的卫生技术评估及应用［J］.外科研究与新技术，2019，8(3)：205-215. ［2］王聪，王义，宋妮，等.核磁共振测试平台管理模式的探讨与实践［J］.实验室科学，2017，20(1)：199-201. ［3］何伟，李松阳，肖洪，等.核磁共振成像设备临床应用中的风险管理研究［J］.中国医学装备，2018,15(2)：121-125. ［4］唐宁.W医院医疗流程再造研究［D］.杭州：浙江中医药大学，2017. ［5］唐檬，陈英耀，茅艺伟，等.中国卫生技术评估决策转化现状及影响因素的定性研究［J］.中国卫生质量管理，2015，22(6)：95-98.

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更新日期/Last Update: 2021-07-28