职能部门多学科联合诊疗提升医疗质量的实践路径——以浙江大学医学院附属儿童医院为例

Exploration of multi-disciplinary treatment of functional departments to improve medical quality:a case studay of Children’s Hospital,Zhejiang University School of Medicine

医疗质量安全是公立医院高质量发展的基础和前提,多学科联合诊疗(multi-disciplinary treatment,MDT)理念对于医院职能部门协同开展医疗质量管理实践具有重要价值。浙江大学医学院附属儿童医院创新探索符合儿童医院自身特色的质量管理模式,构建职能部门医疗质量MDT实践路径,形成临床科室主动发起会诊,各职能部门多方协同双向互动,精准发现并解决问题,持续追踪并反馈改进的闭环管理流程。该模式实施后,全院医疗质量安全水平全面提升,主要表现为科室一级质控能力增强,绩效考核核心指标优化,患者满意度显著提升,对促进医院高质量发展具有深远意义。

Medical quality and safety are the foundation for the high-quality development of public hospitals.The concept of Multi-disciplinary Treatment(MDT)is of great value for functional departments of hospitals to collaborate in carrying out medical quality management practices.Children’s Hospital,Zhejiang University School of Medicine explored a new quality management model,constructed the MDT practice path for medical quality in administration,and formed a closed-loop management process where clinical departments actively initiate consultations,various administrative functional departments collaborate and interact in a two-way manner,accurately identify and solve clinical problems,and continuously track and feedback outcomes.After the inception of this path,the overall level of medical quality and safety in the hospital has been comprehensively improved,mainly manifested in the enhancement of quality control capabilities of clinical departments,optimization of core performance evaluation indicators,and remarkable improvement in patient satisfaction,thereby holding profound significance for high-quality development of the hospital.