以自评自建为契机 提升科室质量管理水平

Self-Assessment and Self-Construction as An Opportunity to Enhance the Quality Management of Departments

自评自建工作是医院评审的精髓。从健全组织,明确分工;加强培训,提高认识;认真自查,找准问题,限时整改,责任到人;定期检查,持续改进等4方面,总结了医院开展自评自建工作的主要做法。同时,以自评自建为契机,从健全规章制度,狠抓基础质量;建立发现问题,解决问题并持续改进机制;增加质量管理考核工具等着手,提升了科室质量管理水平。

Self- assessment and self - construction is the essence of hospital accreditation. The main approaches in hospital self - assessment and self - construction were summed up from four aspects including the sound organization, a clear division of la- bor; enhancing training, awareness - raising; serious self - examination, problem identification, timely rectification, personal re- sponsibility; regular inspection and continuous improvement. Furthermore, using self - assessment and self - construction as an opportunity to enhance the level of department quality management from aspects of improving rules and regulations, paying atten- tion to basic quality; establishing mechanisms in problems identification, problems solution and continuous improvement; increas- ing quality management assessment tools