CAJ | 학술논문

目的：了解上海市医院质量管理现状,以期进一步提高医疗质量。方法采用分层抽样调查方法,对上海市20家医院(10家三级医院,10家二级医院)的医疗质量管理现况进行问卷调查,调查内容围绕医疗质量管理的组织架构、管理职能、管理工具、专业培训、制度规范和运行监督6个维度进行。结果20家医院基本建立健全了医疗质量管理体系,100%建立了医院质量管理委员会；但在科室质量管理、制度规范性、信息化支持、管理工具的参与性等内涵和细节方面还有待提高。结论要从医院外部和内部两方面入手,完善和落实各项医疗质量管理制度及相关标准,提高医疗质量,确保患者安全。
목적：료해상해시의원질량관리현상,이기진일보제고의료질량。방법채용분층추양조사방법,대상해시20가의원(10가삼급의원,10가이급의원)적의료질량관리현황진행문권조사,조사내용위요의료질량관리적조직가구、관리직능、관리공구、전업배훈、제도규범화운행감독6개유도진행。결과20가의원기본건립건전료의료질량관리체계,100%건립료의원질량관리위원회；단재과실질량관리、제도규범성、신식화지지、관리공구적삼여성등내함화세절방면환유대제고。결론요종의원외부화내부량방면입수,완선화락실각항의료질량관리제도급상관표준,제고의료질량,학보환자안전。
Objective To learn the present hospital management conditions in Shanghai for upgrading quality of care.Methods The stratified sampling method was used for a questionnaire survey of the quality of care at 20 hospitals in Shanghai (10 tertiary hospitals and 10 secondary hospitals).The survey covered such six dimensions as organizational framework,management functions,management tools,professional training,regulations and norms,and supervision over operations.Results Medical quality management system is established at such hospitals and all of them have established medical quality management committees.Rooms of improvement remain in such details as departmental quality management,regulations standardization,IT support,and management tools popularity.Conclusion Management regulations and standards of medical quality management should be improved and implemented from both external and internal aspects,to improve medical quality and patient safety.