大型儿童医院临床科室全方位质量评价方法

Total quality assessment of clinical departments in large children’s hospital

目的:研究医院综合质量管理的有效评价方法,为医院科学管理提供决策依据。方法:收集某三甲儿童医院2015-2017年31个临床科室的32项基本指标,利用秩和比法进行综合评价分析。结果:在综合排名中,内科科室排名总体优于外科科室。综合排名前5位的科室分别为内科十四、内科十三、内科十、内科十六、内科十五,排名后5位的科室分别为内科七、外科十四、外科五、外科十二、外科十。结论:秩和比法应用简单,适用性强,分析结果与实际情况贴合,在医院质量管理综合评价中具有较高的应用价值。根据制度落实、服务能力、临床科研、人才培养、临床教学、安全医疗、社会影响,这7大模块综合评价,能较为完善地对临床科室进行综合评价。

Objectives: To study the effective evaluation method of hospital comprehensive quality management and give decision-making basis for hospital scientific management. Methods: Thirty-two basic indexes of 31 clinical departments in a top tertiary children’s hospital from 2015 to 2017 were collected and analyzed comprehensively by RSR method. Results: In the final evaluation results, medical departments ranked better than surgical departments in general. The top five departments were internal medicine 14, internal medicine 13, internal medicine 10, internal medicine 16, internal medicine 15, and the last five departments were internal medicine 7, surgery 14, surgery 5, surgery 12 and surgery 10. Conclusions: RSR method has strong applicability in the field and it is simple in application. The results of analysis are in line with the actual situation. It has high application value in the comprehensive evaluation of hospital quality management. The evaluation is consist of seven modules, which are system implementation, service ability, clinical scientific research, personnel training, clinical teaching, safety medical treatment and social impact. According to these factors, the evaluation can be more comprehensive of the clinical departments.