摘要
目的探讨PDCA循环管理法在持续改进超声危急值管理制度中的价值。方法收集福建医科大学附属协和医院超声科在实施PDCA管理前(2020年11月至2021年10月)、后(2021年11月至2022年4月)超声危急值的检查、登记、随访以及质量控制等资料,并采用χ^(2)检验对比分析实施PDCA管理前后超声危急值相关指标的差异。结果实施PDCA管理前超声危急值上报例数为41例,实施PDCA管理后超声危急值上报例数为21例。实施PDCA管理前后,超声危急值通报率均为100%;超声危急值上报准确率、超声危急值报告及时率、超声危急值及时随访率分别由63.41%(26/41)、30.77%(8/26)、19.23%(5/26)提高至90.48%(19/21)、89.47%(17/19)、57.89%(11/19),差异均具有统计学意义(χ^(2)=5.110、15.322、7.162,P=0.024、<0.001、=0.007);超声危急值报告合格率、超声危急值诊断符合率、超声危急值纸质版及时登记率亦有不同程度提高,但差异均无统计学意义(P均>0.05)。结论PDCA有助于不断健全超声科危急值管理制度,持续提高超声危急值报告的质量和效率。
Objective To assess the value of PDCA cycle in continuous improvement of ultrasonic critical value management system.Methods The data of inspection,registration,follow-up,and quality control of ultrasonic critical value before(November 2020 to October 2021)and after(November 2021 to April 2022)the implementation of PDCA cycle were collected from the Department of Ultrasound of Fujian Medical University Union Hospital,and the differences in relevant indicators of ultrasonic critical value before and after the implementation of PDCA cycle were compared by theχ^(2)test.Results The number of ultrasound emergency cases before the implementation of PDCA cycle was 41,and it was 21 after the implementation of PDCA cycle.Before and after PDCA cycle implementation,the notification rate of ultrasonic critical value was both 100%;the accuracy rate of ultrasonic critical value reports,the timely rate of ultrasonic critical value reports,and the timely follow-up rate of ultrasonic critical value increased from 63.41%(26/41),30.77%(8/26),and 19.23%(5/26)to 90.48%(19/21),89.47%(17/19),and 57.89%(11/19)respectively,and the differences were statistically significant(χ^(2)=5.110,15.322 and 7.162,P=0.024,<0.001,=0.007);the qualified rate of ultrasonic critical value reports,diagnostic coincidence rate of ultrasonic critical value,and timely registration rate of paper version of ultrasonic critical value were also improved to varying degrees,but the differences were not statistically significant(P>0.05 for all).Conclusion PDCA cycle helps to continuously improve the management system of critical value in ultrasound department as well as the quality and efficiency of critical value report.
作者
陈舜
薛恩生
叶琴
Chen Shun;Xue Ensheng;Ye Qin(Department of Ultrasound,Fujian Medical University Union Hospital,Fujian Medical Ultrasound Quality Control Center,Fujian Medical Ultrasound Research Institute,Fuzhou 350001,China)
出处
《中华医学超声杂志（电子版）》
CSCD
北大核心
2023年第9期974-978,共5页
Chinese Journal of Medical Ultrasound(Electronic Edition)
关键词
超声检查
危急值
质量控制
管理
Ultrasonic inspection
Critical value
Quality control
Management
