戴明环模式在提高妇幼保健医院预检分诊效率的运用

Application of PDCA in improving the efficiency of pre-examination and triage in MCH hospital

目的通过戴明环模式(PDCA)提高妇幼保健院预检分诊效率,减少就诊人员的等候时间和人员聚集,推进方便、快捷的就医服务。方法采取现场调查和发放调查问卷的方式,将2020年2月1日-4月15日于深圳市妇幼保健院就诊的患者作为改善前组,通过PDCA整改后,选取2020年5月1日-7月15日人院就诊的患者作为改善后组,每组各2000例。了解预检分诊现状,发放并收集两组患者的满意度调查问卷各200份,了解患者对预检分诊的满意度,分析改善前后两次的调查结果,评估预检分诊效率。结果采用PDCA后,改善后组每天高峰时段预检分诊人次显著增加,患者预检分诊平均所需时间和分诊错误率均显著减少,每天预检分诊效率显著提高,(P值均<0.05)。患者对预检分诊的满意度由改善前的89.45%提高至99.00%,差异有统计学意义(P<0.05)。结论通过PDCA改进医院预检分诊系统,缩短了分诊时间,提高了预检分诊的效率和准确率,提升了患者满意度。

Objective To improve the efficiency of pre-examination and triage in MCH hospitals through PDCA,reduce the waiting time,avoid gathering and promote convenient and fast medical service.Methods By means of on-site surveys and questionnaires,the patients who visited Shenzhen Maternal and Child Health Hospital from February 1st to April 15th,2020 were selected as the pre-improvement group.After the PDCA rectification,the patients who visited from May 1st to July 15th were selected as the post-improvement group,with 2000 cases in each group.To understand the status quo of pre-examination and triage,distribute and collect 200 satisfaction questionnaires for each of the two groups of patients to understand the satisfaction of patients with pre-inspection and triage,analyze the results of the previous and second surveys,and evaluate the efficiency of pre-examination and triage.Results After using PDCA,the number of pre-examination and triage in the improved group increased significantly during the daily peak hours,the average time required for pre-examination and triage of patients and the error rate of triage were significantly reduced,and the efficiency of daily pre-examination and triage were sifitly sgfen.n(all P<0.05).The sifiecnty improved,the dfrenec were and tiage inresed from 89.45%099.00%,and sisaction of paiens with pexmination the difference was sarially sifian(P<0.05).Concluson,Through PDCA quality impovment of the hospial pe-xamination triage system,it can shorten the triage time,improve the efficiency and accuracy of pre-examination and triage,and improve patient satisfaction.