基于持续质量改进循环管理法为主的持续质量改进模式在提高儿童体检分诊中的应用效果

Application effect of continuous quality improvement mode based on continuous find organize clarify understand select plan do check act method in improving children′s physical examination triage

目的探究基于持续质量改进循环管理(FOCUS-PDCA)法为主的持续质量改进模式提高儿童体检分诊中的应用效果。方法选取2020年2月至2021年2月的江门市妇幼保健院收治的1000例体检儿童作为研究对象,采用随机数字表法将其分为研究组与对照组,每组各500例。研究组采用基于FOCUS-PDCA法为主的持续质量改进模式,对照组采用常规模式,比较两组的对体检中心工作的满意度、体检等待时间、健康保健知识知晓率。结果研究组的满意度高于对照组,差异有统计学意义(P<0.05)。研究组的健康保健知识知晓率高于对照组,差异有统计学意义(P<0.05)。研究组的体检等待时间短于对照组,差异有统计学意义(P<0.05)。结论在儿童体检分诊中采取基于FOCUS-PDCA法为主的持续质量改进模式,可使体检者对健康保健知识掌握更为扎实,缩短体检等待时间,提升其满意度,此方法值得应用与推广。

Objective To explore the application effects of continuous quality improvement model based on continuous find organize clarify understand Find-Organize-Clarify-Understand-Select-Plan-Do-Check-Action(FOCUS-PDCA)in the children′s physical examination triage.Methods A total of 1000 children checked from February 2020 to February 2021 in Jiangmen Maternity and Child Health Hospital were selected as research subjects.According to random number table,they were divided into study group and control group,with 500 cases in each group.The study group took FOCUS-PDCA-dominated continuous quality improvement modes,the control group took the routine modes.The clincial satisfaction,waiting time for physical examination time,health knowledge awareness rate were compared between two groups.Results The clinical satisfaction in the study group was higher than control group,with statistically significant difference(P<0.05).The health knowledge awareness rate in the study group was higher than control group,with statistically significant difference(P<0.05).The physical examination time and awaiting time in the study group were shorter than control group,with statistically significant difference(P<0.05).Conclusion FOCUS-PDCA-dominated continuous quality improvement mode can improve the children′s health knowledge mastery degrees,shorten the physical examination time and increase the clinical satisfaction.It is worthy of application and promotion.