CAJ | 학술논문

目的：探讨“A 管理模式”在急诊科门诊管理工作中的应用效果。方法将2013年1～6月我科采用传统模式管理急诊科的门诊质量指标作为对照组；同2014年1～6月引进“A 管理模式”管理急诊科后的门诊质量指标作为观察组；对2组质量指标进行统计学对比分析，探讨“A 管理模式”在急诊科门诊质量管理工作中的应用效果。结果观察组医疗质量达标率和护理质量达标率均高于对照组，经 U 检验，均 U ＞2．58，P ＜0．01，差异性有统计学意义；观察组医疗纠纷或医疗事故的发生率低于对照组，经χ2检验，2．58＜χ2＜6．63，P ＜0．05，差异性有统计学意义。结论“A 管理模式”应用于急诊科门诊工作的管理，能提高急诊科门诊的医疗护理质量，降低医疗纠纷或医疗事故的发生，值得临床推广使用。
목적：탐토“A 관리모식”재급진과문진관리공작중적응용효과。방법장2013년1～6월아과채용전통모식관리급진과적문진질량지표작위대조조；동2014년1～6월인진“A 관리모식”관리급진과후적문진질량지표작위관찰조；대2조질량지표진행통계학대비분석，탐토“A 관리모식”재급진과문진질량관리공작중적응용효과。결과관찰조의료질량체표솔화호리질량체표솔균고우대조조，경 U 검험，균 U ＞2．58，P ＜0．01，차이성유통계학의의；관찰조의료규분혹의료사고적발생솔저우대조조，경χ2검험，2．58＜χ2＜6．63，P ＜0．05，차이성유통계학의의。결론“A 관리모식”응용우급진과문진공작적관리，능제고급진과문진적의료호리질량，강저의료규분혹의료사고적발생，치득림상추엄사용。
Objective To explore the application result of “A management mode ”in the service management of emergency department out-patient.Methods Between January and June 2013,our department adopted the model of traditional service management of emergency de-partment outpatient and chose the service quality index as the control group.Between January and June 2014 we adopted “A management mode”in the management of emergency department outpatient and chose the service quality indicators as observation group,the quality index of the two groups were analyzed.Results The rates of reaching the standard of medical quality management and nursing quality of the obser-vation group were higher than the control group,the difference was statistically significant (P <0.05).The medical dispute or medical acci-dent rates of the observation group were lower than the control group,the difference was statistically significant ((P <0.05).Conclusion The application of “A management model”to the quality management of emergency department outpatient service can improve the quality of outpatient medical care in the emergency department and reduce the incidence rate of medical dispute or medical accident.