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摘要:
目的 探讨标准化质量控制(简称“质控”)理念在超声医学科的应用效果。 方法 基于“医疗质量第一、医疗安全第一” “ PDCA持续改进” “全程质控、全科参与”的核心理念建立标准化质控体系，比较2019年1—6月(质控体系建立前)、2021年1—6月(质控体系建立后)平均门诊及住院超声检查预约时间，2019年1—6月(质控体系建立前)、2019年10月—2020年3月(质控体系建立后)患者及临床医师满意度，2020年与2021年(质控体系建立后)平均超声诊断符合率。 结果 与质控体系建立前相比，质控体系建立后的平均门诊及住院超声检查预约时间均缩短[(5.00±0.89)d比(13.33±2.81)d，P=0.009;(1.33±0.52)d比(3.50±0.55)d，P=0.448];患者及临床医师满意度评分均升高[(89.56±0.95)分比(86.91±3.12)分；(87.28±2.04)分比(82.95±4.59)分]且差异均有统计学意义(P均＜0.05)；质控体系建立后，2021年平均超声诊断符合率高于2020年(94.7% 比93.5%)且差异有统计学意义(P＜0.05)。 结论 标准化质控体系的建立缩短了平均门诊及住院超声检查预约时间，提高了患者及临床医师满意度，且平均超声诊断符合率逐年升高，有效提升了医疗服务质量及质控水平，在超声质控工作中的应用效果良好。 Abstract:Objective To explore the application effect of standardized quality control concept in the quality control of ultrasound department. Methods A standardized quality control management system was established, based on the quality control concepts of "medical quality first, medical safety first", "PDCA continuous improvement", and "full-process quality control and all-department participation". We compared average outpatient and inpatient ultrasound appointment times from January 2019 to June 2019 and January 2021 to June 2021, patient satisfaction and clinical satisfaction data of ultrasound department from January 2019 to June 2019 and October 2019 to March 2020 before and after the establishment of the standardized quality control management system, and the annual ultrasound diagnosis consistent rate from 2020 to 2021 after the establishment of the standardized quality control management system. Results After the establishment of the standardized quality control management system, the mean outpatient ultrasound appointment time and inpatient ultrasound appointment time was shortened[(5.00±0.89)days vs. (13.33±2.81)days, P=0.009; (1.33±0.52)days vs. (3.50±0.55)days, P=0.448]. The scores of patient and clinical satisfaction were significantly higher than those before implementation[(89.56±0.95)points vs. (86.91±3.12)points, (87.28±2.04)points vs. (82.95±4.59)points], and all differences were statistically significant (P < 0.05). The consistent rate of ultrasound diagnosis in 2021 (94.7%) was significantly higher than that in 2020 (93.5%)(P < 0.05). Conclusion The establishment of the standardized quality control system has shortened the average appointment time for outpatient and inpatient ultrasound examinations, improved the patient and clinical satisfaction and the average ultrasound diagnostic compliance rate, and effectively improved the quality of medical services and quality control, thus showing good application effects on ultrasound quality control. -
Key words:
- ultrasonography /
- quality control /
- PDCA cycle
作者贡献：郑宇觐负责数据整理、分析及论文撰写；张波负责质控设计、督导及实施；刘会、郭丹丹负责质控细则制定及定期总结。利益冲突：所有作者均声明不存在利益冲突 -
表 1 标准化质控体系建立前后平均超声检查预约时间比较(x±s，d)
时间 平均门诊检查
预约时间平均住院检查
预约时间2019年1—6月(质控体系建立前) 13.33±2.81 3.50±0.55 2021年1—6月(质控体系建立后) 5.00±0.89 1.33±0.52 P值 0.009 0.448 
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表 2 准化质控体系建立前后患者及临床医师满意度比较(x±s，分)
时间 患者满意度 临床医师满意度 2019年1—6月(质控体系建立前) 86.91±3.12 82.95±4.59 2019年10月—2020年3月(质控体系建立后) 89.56±0.95 87.28±2.04 P值 0.044 0.035
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表 3 2020年与2021年平均超声诊断符合率比较(%)
时间 例数(n) 基本符合 不符合 2020年 6641 93.5 6.5 2021年 9726 94.7 5.3 χ2值 11.179 P值 0.001
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