[1]董一凡陈程邹蜜陈雪琪马莉张青韦瑶王红燕李建初.督导会诊在超声门诊医疗质量改进中的应用[J].中国卫生质量管理,2023,30(12):11-15.[doi:10.13912/j.cnki.chqm.2023.30.12.03 ]
　DONG Yifan,CHEN Cheng,ZOU Mi.The Role of Supervisor Consultation in Quality Improvement of Outpatient Ultrasound Examinations[J].Chinese Health Quality Management,2023,30(12):11-15.[doi:10.13912/j.cnki.chqm.2023.30.12.03 ]

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督导会诊在超声门诊医疗质量改进中的应用

《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: 11-15 栏目: 特别关注出版日期: 2023-12-15

Title:: The Role of Supervisor Consultation in Quality Improvement of Outpatient Ultrasound Examinations

作者:: 董一凡陈程邹蜜陈雪琪马莉张青韦瑶王红燕李建初; 中国医学科学院北京协和医院

Author(s):: DONG Yifan; CHEN Cheng; ZOU Mi; Peking Union Medical College Hospital, Chinese Academy of Medical Science

关键词:: 超声; 门诊; 督导会诊; 超声报告; 超声诊断符合率; 质量改进

Keywords:: Ultrasound; Outpatient; Supervision Consultation; Ultrasonic Report; Ultrasound Diagnosis Coincidence Rate; Quality Improvement

分类号:: R445.1；197.3

DOI:: 10.13912/j.cnki.chqm.2023.30.12.03

文献标志码:: B

摘要:: 目的探讨督导会诊对超声门诊医疗质量改进的作用。方法设置门诊专职督导岗位并明确职责，建立超声报告工作站和超声质控工作站。超声住院医师通过超声报告工作站发起会诊申请，督导医师通过超声报告工作站查看需会诊病例临床资料等并前往诊间进行现场会诊。结果申请督导会诊的2 958例次病例中，1 327例次病例会诊后超声图像得以规范，1 330例次病例会诊后超声报告书写准确。督导会诊前超声诊断符合率为42.6%，督导会诊后超声诊断符合率为92.2%。结论督导会诊能够提升超声门诊报告质量及超声诊断质量。

Abstract:: ObjectiveTo evaluate the efficacy of supervisor consultation for improving medical quality of outpatient ultrasound examinations.MethodsFull-time outpatient supervision posts were set up and responsibilities were clarified. The ultrasound reporting workstation and ultrasound quality control workstation were established. The ultrasound resident initiated the consultation application through the ultrasound workstation, and the supervising physician checked the clinical data of the cases to be consulted through the ultrasound workstation and went to the clinic for on-site consultation.ResultsAmong the 2 958 cases that applied for supervisory consultation, the ultrasound images were standardized in 1 327 cases and the ultrasound reports were accurate in 1 330 cases. The coincidence rate of ultrasound diagnosis was 42.6% before supervision consultation and 92.2% after supervision consultation.Conclusion Supervised consultation can improve the quality of ultrasound outpatient report and ultrasound diagnosis.

参考文献/References:

［1］袁文文,高中辉.超声科质量管理中存在的问题与对策［J］.中医药管理杂志,2019,27(2):170-171. ［2］吕虹,贾美红,冯婷华,等.PDCA循环管理法在超声科“危急值”管理中的应用［J］.中华医学超声杂志(电子版),2019,16(5):364-367. ［3］刘晨迪,陈建国.超声诊断质量影响因素分析与管理对策研究［J］.中医药管理杂志,2020,28(7):173-174. ［4］张勇,鲁晓,李昕,等.超声医学图像及报告质量管理系统设计与应用［J］.中国卫生质量管理,2022,29(4):73-76. ［5］薛恩生.超声医学专业质量管理控制指标专家共识(2018年版)解读及应用［J］.中华医学超声杂志(电子版),2019,16(5):327-328. ［6］GAO LY,LI JC,GU Y,et al.Breast ultrasound in Chinese hospitals: a cross-sectional study of the current status and influencing factors of BI-RADS utilization and diagnostic accuracy［J］.Lancet Reg Health West Pac,2022,29: 100576. ［7］张莉,蔡胜,姜玉新,等.全国超声专业住院医师工作任务调研分析［J］. 中华医学超声杂志（电子版）, 2021,18(9):880-885. ［8］谭莹.产科超声图像的智能质量控制研究［D］.广州：南方医科大学,2023.

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更新日期/Last Update: 2023-12-15