应用PDCA改进职业病诊断工作

Application of PDCA in improvement of work on occupational disease diagnosis

目的探讨PDCA循环在提高职业病诊断质量中的应用效果。方法回顾性分析北京大学第三医院2019年1—12月职业病诊断情况,2020年1—12月在职业病诊断中运用PDCA循环采取干预措施,对比PDCA循环实施前后患者得到的职业病诊断所需时间、职业病鉴定率、职业病鉴定与诊断结论一致率。结果PDCA循环实施后,职业病诊断所需时间相比实施前缩短[(15.7±6.3)d vs.(19.6±8.2)d,P<0.05],职业病鉴定率相比实施前下降(1.47%vs.8.69%,P<0.05),职业病鉴定与诊断结论一致率从90%提高至100%。结论应用PDCA循环后,通过完善制度、梳理流程、规范管理,可有效提高职业病诊断及时性和准确性。

Objective To understand the effect of PDCA cycle in improving the work on occupational disease diagnosis.Methods The experience of diagnosis of occupational diseases in the Third Hospital of Peking University from January to December 2019 was analyzed retrospectively;from January to December 2020,PDCA cycle was introduced in the work on occupational disease diagnosis,and the corresponding intervention measures were taken.The spent time for occupational disease diagnosis,the proportion of application for appraisal of occupational disease,and the consistency of results of occupational disease appraisal and first diagnosis conclusion were compared before and after the implementation of PDCA.Results After the implementation of PDCA,the spent time for occupational diseases diagnosis was shortened[(15.7±6.3)d vs.(19.6±8.2)d,P<0.05],the proportion of application for appraisal was decreased(1.47%vs.8.69%,P<0.05),and the consistency rate was increased from 90%to 100%.Conclusions After applying PDCA cycle,the quality of work on occupational disease diagnosis were effectively improved through improving the system,sorting out the process and standardizing management.