某三级专科医院医疗核心制度全面落实的实践探索

Implementation of core medical systems in a tertiary specialized hospital

目的提高医院医疗质量管理水平,促进医疗核心制度落实,保障患者安全。方法分析医院医疗核心制度管理薄弱环节,针对存在的问题进行改善,包括构建三级督查架构,建立四级闭环体系,设立制度要点库管理以及引入质量督查与反馈系统。结果核心制度落实符合率由79%提升至90%,闭环符合率由22.58%提升至100%。督查时间成本大幅降低。结论改进医疗核心制度督查措施能够有效进行制度监管与落实,提升患者安全。

Objective To enhance hospital medical quality management,promote the enforcement of medical core systems,and ensure patient safety.Methods Weak points in core medical systems were identified and corresponding improvements were made,including establishing a three-tier inspection framework,creating a four-tier closed-loop system,setting up a standardized information query system,and introducing a quality inspection and feedback system.Results The compliance rate in the implementation of the core systems increased from 79%to 90%,and the closed-loop compliance rate increased from 22.58%to 100%.The time cost of inspections was significantly reduced.Conclusion Improving the inspection measures can effectively facilitate the supervision and implementation of core medical systems and thus guarantee patient safety.