精细化管理在医院管理中的应用研究

Study on application of fine management in hospital management

目的研究精细化管理在医院管理中的应用。方法随机选取2016年8月~2018年8月我院泌尿外科患者60例,随机分为两组:精细化管理组(30例),常规化管理组(30例),常规化管理组患者接受常规化管理,精细化管理组患者接受精细化管理,然后统计分析两组管理差错事件、患者投诉、医院感染发生情况、患者的满意度。结果精细化管理组管理差错时间、患者投诉、医院感染发生率3.3%(1/30)、0、3.3%(1/30)均显著低于常规化管理组13.3%(4/30)、10.0%(3/30)、13.3%(4/30)(P<0.05)。常规化管理组患者中非常满意20例,较满意5例,满意度为83.3%(25/30);精细化管理组患者中非常满意26例,较满意3例,满意度为96.7%(29/30)。精细化管理组患者的满意度显著高于常规化管理组(P<0.05)。结论精细化管理在医院管理中的应用效果较常规化管理好,更能有效降低管理差错事件、患者投诉、医院感染发生率,提升患者的满意度,值得在临床推广应用。

Objective To study the application of fine management in hospital management. Methods 60 patients in department of urology in our hospital from August 2016 to August 2018 were randomly selected and they were randomly divided into the fine management group(30 cases)and the routine management group(30 cases).Patients in the routine management group were given routine management while patients in the fine management group were given fine management.Then the management error events,patient complaints,nosocomial infections,and satisfactions of patient of the two groups were statistically analyzed. Results The incidence of the management error events,patient complaints and nosocomial infections of the fine management group were respectively 3.3%(1/30),0 and 3.3%(1/30),all significantly lower than 13.3%(4/30),10.0%(3/30)and 13.3%(4/30)in the routine management group(P<0.05).Among patients in the refined management group,26 cases were extremely satisfied and 3 cases were relatively satisfied.The satisfaction rate was 96.7%(29/30).Among patients in the routine management group,20 cases were very satisfied and 5 cases were relatively satisfied.The satisfaction rate was 83.3%(25/30).The satisfaction of patients in the refined management group was significantly higher than patients in the routine management group(P<0.05). Conclusion The application effect of fine management is better than routine management in hospital management.It can more effectively reduce the incidence of management error event,patients complaints and nosocomial infections and improve satisfaction of patients.It is worthy of promotion and application in clinical practice.