中国病案
中國病案
중국병안
CHINESE MEDICAL RECORD
2015年
5期
13-14
,共2页
单病种%监管%信息化%质量控制
單病種%鑑管%信息化%質量控製
단병충%감관%신식화%질량공제
Single Disease%Supervision%Informatization%Quality control
目的：通过单病种质量控制，提高医疗过程质量。方法通过质控网络建设，加强对临床的服务与监管及重点指标的系统追踪，对2011年至2014年首批单病种指标数据进行分析，比较介入前后数据指标的变化。结果2011年至2014年间，单病种上报率由48%增加到97.69%；过程质量指标比率上，关节置换术术中输血量≤400ml的比率由28.14%增加到88.42%，术后并发症比率由33.08%降低到10.18%；急性心肌梗死90分钟内实施急诊PCI的比率由27.61%增加到52.98%，均实现了持续改进。结论通过加强单病种的质量管控，使医疗质量得以提高，但上级卫行政部门仍应加大监管力度，并完善信息化建设，以更好的进行质控。
目的：通過單病種質量控製，提高醫療過程質量。方法通過質控網絡建設，加彊對臨床的服務與鑑管及重點指標的繫統追蹤，對2011年至2014年首批單病種指標數據進行分析，比較介入前後數據指標的變化。結果2011年至2014年間，單病種上報率由48%增加到97.69%；過程質量指標比率上，關節置換術術中輸血量≤400ml的比率由28.14%增加到88.42%，術後併髮癥比率由33.08%降低到10.18%；急性心肌梗死90分鐘內實施急診PCI的比率由27.61%增加到52.98%，均實現瞭持續改進。結論通過加彊單病種的質量管控，使醫療質量得以提高，但上級衛行政部門仍應加大鑑管力度，併完善信息化建設，以更好的進行質控。
목적：통과단병충질량공제，제고의료과정질량。방법통과질공망락건설，가강대림상적복무여감관급중점지표적계통추종，대2011년지2014년수비단병충지표수거진행분석，비교개입전후수거지표적변화。결과2011년지2014년간，단병충상보솔유48%증가도97.69%；과정질량지표비솔상，관절치환술술중수혈량≤400ml적비솔유28.14%증가도88.42%，술후병발증비솔유33.08%강저도10.18%；급성심기경사90분종내실시급진PCI적비솔유27.61%증가도52.98%，균실현료지속개진。결론통과가강단병충적질량관공，사의료질량득이제고，단상급위행정부문잉응가대감관력도，병완선신식화건설，이경호적진행질공。
Objective To improve the quality of medical process through the quality control of single disease. Methods To strengthen the service or supervision for the clinical medicine and the system tracking for key indexes through the construction of quality control network, then conduct analysis on the index data of the first series of single disease from 2011 to 2014, and compare the changes before and after the intervention.Results During 2011 and 2014, the single disease reporting rate increased from 48% to 97.69%; the ratio of joint replacement in the intraoperative transfusion volume was less than or equal to 400ml increased from 28.14% to 88.42%, the postoperative complication rate reduced from 33.08% to 10.18%; the ratio of acute myocardial infarction within 90 minutes of emergency PCI increased from 27.61% to 52.98%.The process quality indicators had achieved continuous improvement.Conclusions The single disease work has made certain achievements, but superior health administrative departments should still strengthen supervision, and improve the informatization construction, so as to promote the quality control better.
