PDCA循环在公立医院综合查房问题整改中的应用与成效

Application and effect of PDCA cycle in the rectification of comprehensive ward rounds in public hospitals

东莞市滨海湾中心医院将PDCA循环应用于综合查房问题整改,针对综合查房问题整改存在的缺陷,通过“分析问题,制定计划”“实施计划,解决问题”“持续检查,跟踪问效”“提炼标准,总结经验”四个阶段的持续循环改进,打通了跨组织、跨层级的业务协同壁垒,提高了领导决策力和部门执行力。应用后,查房问题的整改率显著提高,临床医技科室对查房问题整改平均满意度明显改善,查房工作取得较好实效;同时进一步健全了医院管理制度、规范了工作流程。做到以问题为导向,切实解决好影响人民群众的就医体验以及困扰医院持续发展的重点与难点问题,从根本上提高了服务品质,赋能医院高质量发展。

The PDCA cycle was applied to the rectification of problems in comprehensive ward rounds in Binhai Bay Cen-tral Hospital of Dongguan City.Aiming at the defects existing in the rectification of problems in comprehensive ward rounds,the continuous circulatory improvement was carried out in four stages of"analyzing problems and making plans""imple-menting plans and solving problems"continuous inspection and tracking results"and"refining standards and summing up experience".It has broken the barriers of cross-organization and cross-level business collaboration,and improved leader-ship decision-making power and department execution power.After the application,the rectification rate of ward round problems was significantly increased,the average satisfaction of clinical medical technology departments to the rectification of ward round problems was significantly improved,and the work of ward round achieved good results.At the same time,it further improved the hospital management system and standardized the work flow.It is problem-oriented,effectively solves the key and difficult problems that affect the people's medical experience and the sustainable development of the hospital,fundamentally improves the service quality,and enables the high-quality development of the hospital.