基于FOCUS-PDCA理论的医院公文质量改进——以浙江省某医院为例

Quality improvement of hospital official documents based on FOCUS-PDCA theory:taking a hospital in Zhejiang province as an example

目的探讨应用FOCUS-PDCA理论提高浙江省某医院公文质量的效果。方法根据FOCUS-PDCA理论,梳理2021年某医院公文管理中存在的问题,成立改进小组,利用组能力评定、要因投票、头脑风暴等方法,找出医院公文质量不高的根本原因,选择其中有待改进的高风险、高频率、易出错的问题,应用FOCUS-PDCA理论并运用5W1H、甘特图等工具,对医院公文质量进行持续改进。并利用SPSS软件对改进前后公文拟制通过率进行比较。结果改进后,医院公文拟制的通过率从25.4%提升至51.2%,高于目标值,达到了预期的效果。改进最明显的是公文格式均符合国家标准规定,其规范率达到100%。结论运用FOCUS-PDCA理论并通过实施制度顶层设计、培训、严格审核等举措,能提高医院公文质量,有效提升医院现代化治理中公文管理的水平。

Objective To investigate the effectiveness of FOCUS-PDCA model in enhancing the quality of official hospital documents in a Zhejiang-based hospital.Methods The FOCUS-PDCA model was adopted to identify and address the issues present in the hospital’s document management system in 2021.An improvement team was established,tasked with identifying the root cause of the poor quality of documents through group ability assessments,critical factor voting,and brainstorming.High-risk,high-frequency,and erroRprone issues were prioritized for improvement.The FOCUS-PDCA model,along with tools such as the 5W1H and Gantt chart,were utilized to continuously enhance the quality of the hospital’s official documentation.The pass rate of document preparation pre-and post-improvement was compared using SPSS software.Results After the improvement,the approval rate for hospital document writing increased from 25.4%to 51.2%,exceeding the target value and achieving the anticipated outcome.The most significant improvement was observed in document formatting,which now adheres to national standards at a 100%standard rate.Conclusion The FOCUS-PDCA model,coupled with measures such as top-level system design,training,and strict auditing,can significantly improve the quality of hospital documentation.This approach effectively enhances the standard of document management within the hospital,contributing to modernization efforts.