摘要
目的探讨PDCA循环管理应用于医院医学检验质量管理中的效果。方法选择该院医学检验科的30名工作人员作为调查对象,2019年1—12月行常规管理,设为参照组,2020年1—12月采取PDCA循环管理,设为管理组。分别在两个时间段各选择检验标本1500例。比较两组检验标本不合格率、不合格原因及管理满意度。结果管理组住院患者、门诊患者、体检健康者的标本检验不合格率较参照组更低,差异有统计学意义(P<0.05)。管理组条码错误、标本受污染、标本数量不够、标本未达送检指标、血气分析为静脉血、抗凝管与项目有差异等不良事件发生率较参照组更低,差异有统计学意义(P<0.05)。管理组的管理满意度100.00%较参照组80.00%更高,差异有统计学意义(P<0.05)。结论PDCA循环应用于医院医学检验质量管理中可提高标本检验的合格率,减少检验过程中不良事件的发生,提高工作人员对管理的满意度。
Objective To explore the effect of PDCA cycle management in the quality management of hospital medical examinations.Methods 30 staff members of the Medical Laboratory Department of the hospital were selected as the survey objects.Routine management performed from January to December 2019 and set as the reference group.From January to December 2020,the PDCA cycle management adopted and set as the management group.1500 samples were selected for testing in two time periods respectively.The unqualified rate,unqualified reasons and management satisfaction were compared between the two groups.Results Compared with the reference group,the unqualified rates of specimens from inpatients,outpatients,and healthy individuals in the management group were lower,the difference was statistically significant(P<0.05).Compared with the reference group,the management group had a lower incidence of adverse events such as bar code error,contaminated specimens,insufficient specimens,specimens that did not meet the submission criteria,blood gas analysis as venous blood,and differences between anticoagulation tubes and items,the difference was statistically significant(P<0.05).Compared with the reference group of 80.00%,the management satisfaction of the management group was 100.00%higher,and the difference was statistically significant(P<0.05).Conclusion The application of PDCA cycle in hospital medical inspection quality management can improve the pass rate of specimen inspection and reduce the occurrence of adverse events in the inspection process.At the same time,it improves the staff's satisfaction with management.
作者
王欣
王宇
刘大博
WANG Xin;WANG Yu;LIU Dabo(Laboratory Department,FAW General Hospital of Jilin Province,Changchun,Jilin Province,130011 China)
出处
《中国卫生产业》
2022年第7期62-64,68,共4页
China Health Industry
