«上一篇/Previous Article|本期目录/Table of Contents|下一篇/Next Article»

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

卷:

第25卷

期数:

2018年06期

页码:

104-107

栏目:

专题研究

出版日期:

2018-11-28

文章信息/Info

作者:

赵娜 张艳丽 王圣友 陈晓红 王吉善 朱晓瑞 王文凤 刘立飞 王彤璐 谷水

国家卫生计生委医院管理研究所

关键词:

TOPSIS法; 熵权值; 风险分级; 绩效评价

Keywords:

TOPSIS Method;  Entropy Weight;  Risk Classification;  The Performance Evaluation

DOI:

10.13912/j.cnki.chqm.2018.25.6.30

摘要:

目的对北京市属18所医院2016年现场评价的14项指标进行分析，为进一步优化医院管理提供科学借鉴。方法依据《北京市医院管理局2016年绩效考核现场评价工作指标》，运用熵权改良TOPSIS法，并结合最低合理可行(ALARP)准则对各项指标进行分析并评估其风险分级。结果本次评价中绝大多数指标(64.29%)处于1级风险，属于“可接受，且不必进行管理审视”。“危急值报告及处置”“医疗不良事件上报及管理”和“感染监测”等3项指标处于2级风险，属于“可接受，但需要进行管理审视”，是需要进一步加强管理的着力点。“知情同意管理”和“手卫生”处于3级风险，属于“不希望发生，需要管理决策”，是本次现场评价中发现的重点问题。结论本次现场评价医院亮点与不足并存，特别是“知情同意管理”和“手卫生”两方面需要着力改进,建议加强医院之间的相互交流，普及持续改进理念，运用管理工具解决实际问题，促进医院医疗质量和服务质量进一步提高。

Abstract:

ObjectiveTo analyze 14 indexes of field evaluation in 2016 in 18 Beijing municipal hospitals, providing scientific reference for further optimization of hospital management.MethodsAccording to the performance assessment field evaluation index of Beijing hospital authority in 2016, the improved TOPSIS method of entropy weight and the “As Low As Reasonable Practical” (ALARP) criteria were used to analyze the indicators and evaluate their risk grades.ResultsMost of the indicators in this evaluation (64.29%) were at level 1 risk, which was "acceptable and did not require management review". Three indicators, including "critical value report and disposal", "report and management of medical adverse events" and "infection monitoring", were at level 2 risk, which was "acceptable but requires management review" and was the focus of further management. "Informed consent management" and "hand hygiene" were at level 3 risk, belonging to "do not want to happen, need to make management decisions", and were the key issues found in this field evaluation.Conclusion The hospital had coexisted of advantages and shortcomings and deficiencies in this field assessment, especially the management of "informed consent" and "hand hygiene" needed to be improved. Suggestions were made to strengthen mutual exchanges between hospitals, popularize the concept of continuous improvement, use management tools to solve practical problems, and promote further improvement of the hospital medical quality and service quality.

常用功能

更新日期/Last Update: 2018-11-28