以rounding为抓手的医院制度建设实践与思考

Practice and reflections on the construction of hospital system and procedure under the rounding process

制度建设是医院立院之本,如何让制度真正促进医院质量管理和医疗水平的提升,做到"写-做-说"一致,值得医院管理者思考。我院导入rounding方法,改革和优化医院制度建设的思路,依循PDCA循环概念,成立rounding小组,在全院范围内开展质量检查,针对发现的问题进行改进,倒推医院制度的管理过程,使其更符合医院实际,从而构建医院制度建设的闭环管理模式。取得了初步的管理成效,医院员工的制度遵从度得到有效提升,保障了医院的医疗质量和医疗安全。

Systems and procedures are key to a hospital. How to upgrade hospital quality and medical level with systems and procedures, achieving a consistency among " drafting-practice-presentation", deserves further attention by hospital administrators. The rounding process used at the hospital is designed to reform and optimize the institutional development. Following the PDCA cycle, the hospital established rounding teams to check the quality compliance, and correct defects found to improve hospital management. Such efforts adapt to conditions of the hospital and help build a closed-loop management model for hospital′s institutional development. Initial success has been observed, as staff compliance of regulations is upgraded, better ensuring medical quality and safety of the hospital.