北京大学口腔医院医疗质量检查结果分析

ANALYSIS OF THE OUTCOME OF MEDICAL QUALITY EXAMINATION OF PEKING UNIVERSITY STOMATOLOGY HOSPITAL

目的通过对我院2006～2008年医疗质量检查结果的分析,了解我院医疗质量管理中存在的问题,提出改进措施。方法回顾性分析2006～2008年医疗质量检查资料,内容包括门急诊医师病案书写情况、临床操作情况、住院病案的书写情况、医疗处方及X线片的质量等,系统了解我院医疗质量情况。结果近几年我院门急诊病案、住院病案的甲级病案率基本保持在95%以上,处方合格率在95%以上,X线片甲级率多维持在在60%以上,门急诊医师临床操作较规范,但有些共性问题未能及时解决。结论我院在医疗质量管理中,有些问题仍然存在,未能得到及时解决,需采取措施着手改进,使我院的医疗质量有进一步的提高。

Objective According to analyzing the results of medical quality examination from 2006 to 2008, to understand the problems of medical quality management, and take relative measures. Methods Retrospectively analyze the materials of medical quality examination from 2006 - 2008, including outpatient medical records writing, clinical practices, patient medical records, medical prescription, and X -ray film quality ere, to understand systematically the medical quality in my hospital. Results Class A medical record rate of outpatient medical records and patient medical records remains ≥95% ,the pass rate of prescription remains ≥95%, Class A rate of x - ray film quality mosdy remain ≥95%, the clinical patients practice relatively standard, but some problems still remain, and be solved on time. Conclusion In the medical quality management, some problems still remain, so some measures are urgently needed to improve the medical quality in my hospital.