中国医疗管理科学
中國醫療管理科學
중국의료관이과학
china medical administration sciences
2015年
3期
31-38
,共8页
ISO9001标准%医院质量管理体系%质量持续改进%质量评估
ISO9001標準%醫院質量管理體繫%質量持續改進%質量評估
ISO9001표준%의원질량관리체계%질량지속개진%질량평고
ISO 9001 standards%Quality management system of hospital%Continuous quality improvement%Quality evaluation
为了研究如何基于ISO9001标准持续改进医院质量管理体系，发挥其有效性。介绍了某医院2009年至2012年依据ISO9001标准进行持续医院质量改进的做法，并以其资料为具体实例，阐述了医院质量方针和质量目标，以及通过其审核结果、数据分析、纠正措施和预防措施及管理评审所进行的持续质量改进运行过程。其质量方针符合医院发展的需要，质量目标基本实现，总目标完成率92.5%，分解目标完成率96.0%；通过内部审核发现医疗服务过程的策划和运行方面的问题最多，分别占40.63%和53.85%，针对问题及时采取了纠正措施和预防措施；在持续质量改进中对相应文件作了及时改进和常规改进，使医院质量管理体系相关文件不断完善；形成了良好的医院质量文化；医院稳步发展。并阐明领导重视、发挥骨干作用、全员参与以及综合运用持续改进方法，正确评估持续改进的效果，坚持不懈地持续改进，就能取得质量改进的良好效果。
為瞭研究如何基于ISO9001標準持續改進醫院質量管理體繫，髮揮其有效性。介紹瞭某醫院2009年至2012年依據ISO9001標準進行持續醫院質量改進的做法，併以其資料為具體實例，闡述瞭醫院質量方針和質量目標，以及通過其審覈結果、數據分析、糾正措施和預防措施及管理評審所進行的持續質量改進運行過程。其質量方針符閤醫院髮展的需要，質量目標基本實現，總目標完成率92.5%，分解目標完成率96.0%；通過內部審覈髮現醫療服務過程的策劃和運行方麵的問題最多，分彆佔40.63%和53.85%，針對問題及時採取瞭糾正措施和預防措施；在持續質量改進中對相應文件作瞭及時改進和常規改進，使醫院質量管理體繫相關文件不斷完善；形成瞭良好的醫院質量文化；醫院穩步髮展。併闡明領導重視、髮揮骨榦作用、全員參與以及綜閤運用持續改進方法，正確評估持續改進的效果，堅持不懈地持續改進，就能取得質量改進的良好效果。
위료연구여하기우ISO9001표준지속개진의원질량관리체계，발휘기유효성。개소료모의원2009년지2012년의거ISO9001표준진행지속의원질량개진적주법，병이기자료위구체실례，천술료의원질량방침화질량목표，이급통과기심핵결과、수거분석、규정조시화예방조시급관리평심소진행적지속질량개진운행과정。기질량방침부합의원발전적수요，질량목표기본실현，총목표완성솔92.5%，분해목표완성솔96.0%；통과내부심핵발현의료복무과정적책화화운행방면적문제최다，분별점40.63%화53.85%，침대문제급시채취료규정조시화예방조시；재지속질량개진중대상응문건작료급시개진화상규개진，사의원질량관리체계상관문건불단완선；형성료량호적의원질량문화；의원은보발전。병천명령도중시、발휘골간작용、전원삼여이급종합운용지속개진방법，정학평고지속개진적효과，견지불해지지속개진，취능취득질량개진적량호효과。
The paper aims to study how to continuously improve the quality management system of hospital and maintain its effectiveness based on ISO 9001 standards. The paper introduces the practice of a hospital in continuous quality improvement based on ISO 9001 standards from 2009 to 2012 and by taking its data as speciifc example, elaborates the hospital’s policy and objectives of quality, as well as its process of continuous quality improvement by means of result audit, data analysis, corrective and preventive measures, and management review. Its quality policy complies with the needs of hospital development, and its quality objectives have been basically achieved, with the overall goal accomplished by 92.5%and decomposed objectives by 96.0%;the planning and operation of medical service process were found by internal audit to have the most problems, amounting to 40.63%and 53.85%respectively, but corresponding corrective and preventive measures have been taken;corresponding documents were timely and conventionally improved during the continuous quality improvement to constantly complete the documents pertinent to the quality management system of hospital;a sound quality culture of hospital has been formed;and the hospital is developing with a steady pace. Good results of quality improvement can be reached with the attention and backbone function of leaders, all staff participation, comprehensive application of continuous improvement methods, correct evaluation of continuous improvement effect, and persistent implementation of continuous improvement.
