运用PDCA循环法提高急性胰腺炎病因的诊断率

Etiological diagnosis rate of acute pancreatitis can be improved by means of PDCA cycle

目的:探讨运用PDCA循环是否有助于提高急性胰腺炎(acute pancreatitis,AP)病因诊断率.方法:利用AP数据库对南昌大学第一附属医院消化内科2005-2008年的AP病因诊断数据进行分析.运用PDCA循环法对南昌大学第一附属医院消化内科AP病因诊断率低进行原因分析,并制定改进计划、实施执行、检查以及效果总结,统计2009-2014年时间段内每年AP的病因诊断率并进行对比分析.结果:运用PDCA循环法,南昌大学第一附属医院消化内科AP病因诊断流程进一步规范,特发性胰腺炎所占比例呈下降的趋势,由2008年的26.8%降为2014年的6.1%,相应地,AP病因诊断率呈上升的趋势,由73.2%上升到93.9%.结论:运用PDCA循环法有助于提高AP的病因诊断率.

AIM：To explore whether the PDCA cycle method is helpful to improve the etiological diagnosis rate of acute pancreatitis.METHODS：The existing etiological diagnosis data of acute pancreatitis were analyzed from 2005 to 2008 according to the database of acute pancreatitis in our department.The PDCA cycle method was applied to analyze the reason of low etiological diagnosis rate,and then improvement plan was formulated and executed,and the effect was assessed.The etiological diagnosis rate for each year from2009 to 2014 was calculated and analyzed.RESULTS：The process of etiological diagnosis was standardized by means of PDCA cycle.The ratio of idiopathic acute pancreatitis（IAP）was on a generally downward trend,from26.8% in 2008 to 6.1% in 2014.Accordingly,the etiological diagnosis rate of acute pancreatitis was on a generally upward trend,from 73.2%in 2008 to 93.9% in 2014.CONCLUSION：PDCA cycle method is helpful to improve the etiological diagnosis rate of acute pancreatitis.