北京市属18所医院现场绩效考核评价结果分析

Analysis of on-site evaluation results at 18 Beijing hospitals

目的对北京市属18所医院2016年现场评价14项指标进行分析，为进一步优化医疗质量和服务提供技术支持和参考。方法依据《北京市医院管理局2016年绩效考核现场评价工作指标》，运用TOPSIS法与秩和比法加权模糊联合分析评价结果并确定各指标的综合排序。结果TOPSIS法与秩和比法加权模糊联合分析显示各指标从高到低排名前3名为医疗技术管理、落实患者身份识别和查对制度、临床护理服务管理；后3名为感染监测、医疗不良事件上报及管理、危急值报告及处置。结论建议加强医院之间的相互交流，普及持续改进的理念，运用管理工具解决实际问题，促进医院医疗质量和服务质量进一步提高。

Objective To analyze the 14 indicators of on-site evaluation at 18 hospitals under Beijing hospital authority in 2016, and to provide technical support and reference for further optimization of medical quality and service. Methods According to the ＂ Beijing Municipal Administration of Hospital 2016 On-site Evaluation Indicators＂ , the results were analyzed using the fuzzy combined method of TOPSIS and rank sum ratio, and the ranking of the indicators was sorted. Results TOPSIS method and rank sum ratio weighted fuzzy joint analysis showed that the top three indicators from high to low were medical technology management, patient identification and verification system, clinical care service management; and the last three indicators were hospital-acquired infection monitoring, medical malpractice reporting and management, critical value report and disposal. Conclusions Hospitals are recommended to strengthen their exchange, popularize the concept of continuous improvement, the use of management tools to solve practical problems, and further improve the hospital medical quality and service quality.