持续质量改进对妇产科门诊预检分诊确诊率产生的影响

Influence of continuous quality improvement on diagnosis rate of pre-examination and triage in outpatient department of obstetrics and gynecology

目的:研究妇产科门诊预检分诊应用持续质量改进对其确诊率的影响。方法:研究对象选取2020年1月至2021年12月于本院妇产科门诊就诊的126例患者,按预检分诊管理模式不同分为对照组(63例)与研究组(63例),对照组行预检分诊常规管理,研究组行持续质量改进,对比两组分诊效率、分诊满意度、患者依从性、不良事件发生率及确诊率。结果:与对照组比较,研究组分诊平均时间、患者就诊等待时间均更短(P<0.05);与对照组比较,研究组医院分诊环境、分诊服务态度、尊重帮助患者、分诊熟练程度、疾病问询技巧及温馨提示告知评分均更高(P<0.05);研究组(96.83%)依从率高于对照组(82.54%),差异有统计学意义(P<0.05);研究组(98.41%)确诊率高于对照组(85.71%),差异有统计学意义(P<0.05);研究组(1.59%)不良事件发生率低于对照组(20.63%),差异有统计学意义(P<0.05)。结论:妇产科门诊预检分诊应用持续质量改进,可提高确诊率,减少不良事件,提高分诊效率,并促进患者满意度提高。

Objective:To study the effect of continuous quality improvement on the diagnosis rate of pre-examination and triage in obstetrics and gynecology outpatient clinics.Methods:The research subjects selected 126 patients from January 2020 to December 2021 in the outpatient department of obstetrics and gynecology in our hospital.The control group underwent routine management of pre-examination and triage,while the study group underwent continuous quality improvement.The two groups were compared in terms of diagnosis efficiency,triage satisfaction,patient compliance,incidence of adverse events and diagnosis rate.Results:Compared with the control group,the average time of diagnosis and the waiting time of patients in the study group were shorter(P<0.05).The scores of degree,disease inquiry skills and warm reminders were all higher(P<0.05);the compliance rate of the study group(96.83%)was higher than that of the control group(82.54%),and the difference was statistically significant(P<0.05);the study group(98.41%)had a higher diagnosis rate than the control group(85.71%),and the difference was statistically significant(P<0.05);the incidence of adverse events in the study group(1.59%)was lower than that in the control group(20.63%),with a statistically significant difference(P<0.05).Conclusion:The application of continuous quality improvement in pre-examination and triage in obstetrics and gynecology outpatient clinic can improve the diagnosis rate,reduce adverse events,improve the efficiency of triage,and promote the improvement of patient satisfaction.