JCI评审下的医院质量监控指标体系构建及运作

Construction and Operation of Hospital Quality Monitoring and Controlling Index Under JCI Accreditation

对JCI评审模式下的医院质量监控指标体系及运作构架进行了探索,采用委员会—工作小组—质量管理办公室—指标负责科室四级指标管理组织架构,明确权责分工,建立多部门沟通协作的工作模式,利用质量管理办公室质量内审的角色,能够有效推动监控指标持续改进,提升医院质量。

The system and operating structure of hospital quality monitoring and controlling index construction under JCI accreditation is explored. Four groups of data management organization structure included committee, working group, quality management department and responsible department to identify the responsibilities. It isfound that establishing the multi-department cooperation models and using the internal audit role of quality management department can effectively promote the monitoring index and improve hospital quality continuously.