国家三级公立医院绩效评估:使用FOCUS-PDCA改进外部质量评估
Chunbao Xie1,2, Yunhui Xiang3, Qingqing Lin4
1Department of Laboratory Medicine and Sichuan Provincial Key Laboratory for Human Disease Gene Study, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Journal of evaluation in clinical practice
|May 23, 2024
概括
通过FOCUS-PDCA质量改善战略,提高了国家三级公立医院的外部质量评估 (EQA) 绩效. 这导致了EQA参与率和通过率的增加,改善了医院的整体排名.
科学领域:
- 提高质量 提高质量
- 医疗保健管理的管理
- 临床实验室科学 临床实验室科学
背景情况:
- 外部质量评估 (EQA) 对于评估国家第三级公共医院的绩效至关重要.
- 提高EQA绩效是国家医院评估系统的一个关键目标.
- 焦点-PDCA战略提供了一种结构化的质量提升方法.
研究的目的:
- 实施FOCUS-PDCA质量改进战略,以提高EQA的绩效.
- 建立一个EQA工作组,以持续改进EQA.
- 将EQA绩效与国家第三级公共医院评估联系起来.
主要方法:
- 这项研究使用了FOCUS-PDCA (寻找,组织,澄清,理解,选择 - 计划,做,检查,行动) 策略.
- 项目团队对EQA质量控制问题进行了根本原因分析.
- 改进计划在2019年至2021年三个周期内实施.
主要成果:
- EQA参与率从66.5% (2018年) 增加到100% (2021年).
- EQA通过率从94.9% (2018年) 提高到99.3% (2021年).
- 医院绩效排名有所改善,在2021年达到第27位.
结论:
- 焦点-PDCA战略有效地改善了第三级公共医院的EQA绩效.
- 改进的EQA结果有助于更好的国家绩效评估.
- 该战略支持在国家评估中取得令人满意的结果.
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