[1]陈夏珊陈江华.落实“超声危急值10分钟内通报完成率”质控目标及改进策略[J].中国卫生质量管理,2023,30(12):007-10.[doi:10.13912/j.cnki.chqm.2023.30.12.02 ]
　CHEN Xiashan,CHEN Jianghua.Implement the Quality Control Objective and Improvement Strategy of "Completion Rate of Ultrasonic Critical Value Notification within 10 Minutes"[J].Chinese Health Quality Management,2023,30(12):007-10.[doi:10.13912/j.cnki.chqm.2023.30.12.02 ]
点击复制

落实“超声危急值10分钟内通报完成率”质控目标及改进策略
分享到：

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第30卷
期数:
2023年12期
页码:
007-10
栏目:
特别关注
出版日期:
2023-12-15

文章信息/Info

Title:
Implement the Quality Control Objective and Improvement Strategy of "Completion Rate of Ultrasonic Critical Value Notification within 10 Minutes"
作者:
陈夏珊陈江华
厦门大学附属中山医院
Author(s):
CHEN Xiashan; CHEN Jianghua
Zhongshan Hospital of Xiamen University
关键词:
超声医学; 超声危急值; 危急值通报; 质量控制
Keywords:
Ultrasound Medicine;  Ultrasonic Critical Value; Critical Value Notification;  Quality Control
分类号:
R197.323; R445.1
DOI:
10.13912/j.cnki.chqm.2023.30.12.02
文献标志码:
A
摘要:
目的探讨厦门市公立医院落实“超声危急值10分钟内通报完成率”质控目标及改进策略。方法厦门市超声医学质量控制中心于2022年7月-10月对42家公立医院开展第二季度与第三季度“超声危急值10分钟内通报完成率”专项督导，现场采集数据并进行整理和描述性分析。结果超声危急值报告制度覆盖率从第二季度的78.6%增加至第三季度的97.6%，全员培训率从66.7%增加至85.7%，流程优化率从73.8%增加至100%，标准化登记完成率从64.3%增加至90.5%；超声危急值病例随访率从96.1%增加至100%，超声危急值病例超声诊断符合率从93.6%增加至99.5%；超声危急值通报率从95.4%增加至98.8%，超声危急值10分钟内通报完成率从95.4%增加至100%。第三季度和第二季度均仅有28.6%医院建立了超声危急值信息化管理系统。结论通过专项督导，厦门市公立医院超声危急值10分钟内通报完成率达到目标值100%。各级医院仍需建立并优化超声危急值报告制度，实施全员培训；搭建超声危急值信息化管理平台，优化上报流程；完善超声科质量管理制度，开展质控评价。
Abstract:
ObjectiveTo explore the implementation of quality control objectives and improvement strategies of "completion rate of ultrasonic critical value notification within 10 minutes" in Xiamen public hospitals.MethodsA total of 42 public hospital were supervised specially on the "completion rate of ultrasonic critical value notification within 10 minutes" by the Ultrasonic Medical Quality Control Center of Xiamen in July and October 2022, on-site data collection and descriptive analysis were performed.ResultsThe coverage of the critical value reporting system increased from 78.6% in the second quarter to 97.6% in the third quarter, the training rate increased from 66.7% to 85.7%, the process optimization rate increased from 73.8% to 100%, and the standardized registration completion rate increased from 64.3% to 90.5%. The follow-up rate of critical value of ultrasound increased from 96.1% to 100%, the diagnostic conformity rate of critical value of ultrasound increased from 93.6% to 99.5%, the notification rate of critical value of ultrasound increased from 95.4% to 98.8%, and the completion rate of critical value of ultrasound within 10 minutes increased from 95.4% to 100%. However, only 28.6% of hospitals in the third quarter and the second quarter established the information management system of ultrasonic critical value.Conclusion Through special supervision work, the completion rate of critical ultrasound value notification within 10 minutes in Xiamen public hospitals reached 100% of the target value. Hospitals at all levels still need to establish and optimize the ultrasonic critical value reporting system and implement all staff training; establish an information management platform for ultrasonic critical value, optimize the reporting process; improve the quality management system of ultrasound department and carry out quality control evaluation.

参考文献/References:

［1］曾 强,怀晴雨,姜义山,等.基于司法判决角度的危急值报告制度管理策略［J］.中国卫生质量管理,2023,30(2):4-7. ［2］范培丽,俞 清,常 才,等.上海市医疗机构超声专业技术人员现况调查［J］.中华医院管理杂志,2020,36(1):77-80. ［3］国家卫生健康委办公厅.关于印发2022年国家医疗质量安全改进目标的通知：国卫办医函〔2022〕58号［EB/OL］.（2022-03-02）［2023-04-26］.http://www.nhc.gov.cn/yzygj/s3585/202203/ffed3474b18840 58841a07c144ad094e.shtml. ［4］国家卫生健康委办公厅.关于印发超声诊断等5个专业医疗质量控制指标（2022年版）的通知:国卫办医函〔2022〕161号［EB/OL］.（2022-05-11）［2023-04-26］.http://www.nhc.gov.cn/yzygj. ［5］国家超声医学质量控制中心,中华医学会超声医学分会.超声医学专业质量管理控制指标专家共识(2018年版)［J］.中华超声影像学杂志,2018,27(11):921-923. ［6］陈 舜,薛恩生,林礼务,等.福建省超声医疗质量管理的思路与策略［J］.中华医学超声杂志(电子版), 2019, 16(5): 333-335. ［7］薛恩生,陈 舜.从“医疗质量安全核心制度”浅析超声医学专业的质量安全与管理［J］.中华医学超声杂志(电子版), 2020, 17(7): 602-604. ［8］黄国庆,高 枫,李国庆,等.信息化在超声“危急值”报告精准管理中的应用［J］. 中华医学超声杂志(电子版), 2020, 17(7): 644-649. ［9］赵庆华,王春霞,潘小杰,等.超声科“危急值”制度的落实评估与持续改进策略 ［J］.中华医学超声杂志(电子版), 2020, 17(7): 662-666. ［10］陈俊君,谢玉环,罗海波,等.基于超声-病理诊断符合率的病例随访在超声诊断质量控制工作中的作用［J］.中华医学超声杂志(电子版), 2021, 18(11): 1101-1105.

相似文献/References:

[1]陶葸茜谷杨马莉高璐滢王若蛟徐雯张睿张怡璇王红燕李建初姜玉新.2020年-2021年全国超声医学专业医疗服务与质量安全报告分析[J].中国卫生质量管理,2023,30(12):001.[doi:10.13912/j.cnki.chqm.2023.30.12.01]
　TAO Xixi,GU Yang,MA Li.Analysis of the Report on Medical Service and Quality Safety of Ultrasound Medicine in China from 2020 to 2021[J].Chinese Health Quality Management,2023,30(12):001.[doi:10.13912/j.cnki.chqm.2023.30.12.01]

更新日期/Last Update: 2023-12-15