PDCA改进医疗安全不良事件上报率的效果评价

Evaluation on Effect of PDCA in Improving Reporting Rate of Medical Safety Adverse Events

目的对PDCA提高医疗质量安全不良事件上报率的效果进行评价,推动实现质量安全改进目标。方法组建质量改进小组,运用鱼骨图挖掘影响不良事件报告的各项因素,运用帕累托图找出影响医疗质量安全不良事件上报率的因素,逐一分析制定对策。结果通过整改,医院不良事件年度报告例数连续2年增长率超过20%,医疗、护理相关事件上报率有所提升。结论PDCA是行之有效的质量改进方法,有助于挖掘、发现各类细微问题,通过持续追踪改进,最终实现不良事件报告率的持续提升和事件上报结构的不断优化。

Objective To evaluate the effect of PDCA on improving the reporting rate of adverse events of medical quality and safety,so as to promote the goal of quality and safety improvement.Methods A quality improvement team was formed,and the fishbone diagram was used to explore the factors affecting the reporting of adverse events.The Pareto diagram was used to find out the factors affecting the reporting rate of adverse events of medical quality and safety,and the factors were analyzed one by one to formulate countermeasures.Results Through the rectification,the number of annual reports of adverse events in the hospital increased by more than 20%for 2 consecutive years,and the reporting rate of medical and nursing-related events was improved.Conclusion PDCA is an effective quality improvement method,which helps to excavate and find all kinds of subtle problems.Through continuous tracking and improvement,the continuous improvement of adverse event reporting rate and the continuous optimization of event reporting structure are finally realized.