摘要
目的:探讨目标管理法和关键绩效指标法在体检质量管理中的应用效果。方法:运用目标管理法和关键绩效指标法,确定年度体检质控工作重点,设定9项体检质控关键指标及评价标准。选取2018年一季度的体检质控结果作为对照组,以同年四季度的体检质控结果作为观察组,通过卡方检验或Fisher精确检验对比两组结果,探讨2种管理方法的的应用效果。结果:观察组的体检质控检查评分显著提高,但差异无统计学意义;观察组的体检质控关键指标较对照组均有不同程度改善,其中工作人员手卫生依从性合格率、工作人员心肺复苏操作合格率、体检重大异常结果符合率有所提高(分别为:95.0%和87.5%;97.5%和92.5%;55.6%和51.0%),但差异均无统计学意义,体检科室结果差错率、体检质控文件完成率、受检者满意度、体检重大异常结果随访成功率、体检报告合格率显著改善(分别为:1.2%和2.2%;100.0%和85.0%;98.7%和96.8%;68.6%和62.6%;96.2%和90.6%),差异均有统计学意义。结论:在体检机构体检质量管理中应用目标管理法和关键绩效指标法可有效提高体检质量。
Objective To explore the effect of applying management by objective(MBO)and key performance indicator(KPI)method in the quality management of physical examination.Methods The MBO and KPI methods were used to determine the focus of annual physical examination quality control,and to set 9 key physical examination quality control indicators and assessment standards.The results of physical examination quality control in the first quarter of 2018 were selected as the control group,and those in the fourth quarter of 2018 as the observation group.The two groups were compared using the chi-square test or Fisher′s exact test,after which the application effects of MBO and KPI method were discussed.Results The scores of physical examination quality control in the observation group were higher than those in the control group;however,the difference was not statistically significant.The key indicators of physical examination quality control in the observation group all showed improvement to different degrees when compared with the control group.Among these indicators,the qualified rate of staff hand hygiene compliance,the qualified rate of cardiopulmonary resuscitation operation,and the coincidence rate of major abnormal results of physical examination were increased,but the difference was not statistically significant(95.0%vs 87.5%,P=0.432;97.5%vs 92.5%,P=0.615;55.6%vs 51.0%,P=0.232,respectively).Results error rate of physical examination department,completion rate of physical examination quality control documents,client satisfaction,follow-up success rate of major abnormal results of physical examination,and qualified rate of physical examination report were all significantly improved,with statistical significance(1.2%vs 2.2%,P<0.001;100.0%vs 85.0%,P=0.026;98.7%vs 96.8%,P<0.001;68.6%vs 62.6%,P=0.014;96.2%vs 90.6%,P<0.001,respectively).Conclusion The application of MBO and KPI methods in the physical examination quality management of physical examination institutions can effectively improve the quality of physical examinati
作者
李哲
王昱
田青
赵昳
Li Zhe;Wang Yu;Tian Qing;Zhao Yi(Beijing yijiandian clinic,Beijing 100044,China)
出处
《中华健康管理学杂志》
CAS
CSCD
2021年第3期280-283,共4页
Chinese Journal of Health Management
关键词
目标管理法
关键绩效指标法
体格检查
质量管理
Objectives management
Key performance indicator method
Physical examination
Quality management
