CAJ | 학술논문

对计划外再次手术采取一系列监控管理措施:①健全组织管理体系;②建立实时监控和上报制度;③加强手术科室的质量管理和持续改进;④加强医院质量管理部门对制度落实的督导工作;⑤加强病历质量控制;⑥建立监控结果的反馈机制;⑦建立奖惩机制.经过1年半的努力,对计划外再次手术的监控管理收到了显著效果.计划外再次手术发生率由措施实施之前的1.7%下降到实施之后的1.0%.
대계화외재차수술채취일계렬감공관리조시:①건전조직관리체계;②건립실시감공화상보제도;③가강수술과실적질량관리화지속개진;④가강의원질량관리부문대제도락실적독도공작;⑤가강병력질량공제;⑥건립감공결과적반궤궤제;⑦건립장징궤제.경과1년반적노력,대계화외재차수술적감공관리수도료현저효과.계화외재차수술발생솔유조시실시지전적1.7%하강도실시지후적1.0%.
A series of surveillance and management actions was taken to minimize out-of-plan re-operations. These actions include: 1) Building and completing the surveillance and management mechanism against unplanned re-operations; 2) Building a real-time surveillance and reporting mechanism; 3) Enhancing quality control and continuous improvement at the operating departments; 4) Enhancing the supervision on regulations implementation by quality control departments of the hospital; 5) Enhancing quality control for medical records; 6) Building a feedback mechanism for surveillance results; 7) Building a penalty and reward mechanism. Efforts for one year and a half on such surveillance and management proved successful, as the incidence of out-of-plan re-operations fell from 1.7% before these actions to 1.0% afterwards.