摘要
医疗质量是通过使用各种资源,为患者提供的医疗服务的水平,其评价可以通过一系列指标来进行。目前我国颁布了麻醉等6个专业的质控指标,主要涵盖结构指标、过程指标和结局指标三个方面。人为失误等因素可引起医疗失误和不良事件的发生,而不良事件上报和手术三方核查制度等有助于找到系统风险,从而避免隐患。同时,析因分析、六西格玛和PDCA等质量管理工具有助于持续地改善医疗质量,值得临床医生掌握和实际应用。
Health care quality is defined as a level of value provided by many health care resources, as determined by some measures. China has published quality measures for six specialties including anesthesiology, which are composed of structural measures, process measures, and outcome measures. Medical en＇ors or adverse events can be caused by many factors such as human errors. Adverse events reporting and surgical checklists are the essential elements to avoid system risks. Quality management tools, such as tool cause analysis, six sigma, and plan-do-cheek-action（PDCA） , can further improve the medical quality, and are worthy of application to medical staffs.
出处
《麻醉安全与质控》
2017年第3期148-151,共4页
Perioperative Safety and Quality Assurance
关键词
医疗质量
不良事件
医疗失误
手术三方核查
质量管理工具
health care quality
adverse events
medical error
surgical checklists
quality management tools
