Application of PDCA Cycle in Examination of Medical Quality in Tibetan Area Hospitals_West China Medical Journal

Authors：

 LiHong ¹ , GuHuiqiong ² , TanJun ^1,2 ,  ZhongLe ²

1. Department of Internal Medicine, Mianyang Central Hospital, Mianyang, Sichuan 621000, P. R. China;
2. Medical Affairs Department, Hongyuan People's Hospital, Hongyuan, Sichuan 624400, P. R. China;

Corresponding author：

ZhongLe, Email: 1060507791@qq.com

Keywords：

PDCA cycle; Tibetan hospital; Hospital medical quality; Continuous improvement

DOI：

10.7507/1002-0179.20160044

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the application of PDCA cycle in the examination of medical quality of Tibetan area hospitals. Methods In the October 2014, PDCA cycle theory was introduced into the examination of Tibetan hospital medical quality. We collected quality problems existing in the medical activities actively, analyzed the reason and influencing factors and made corresponding plans. Then we implemented the plans and measures strictly, surveyed the results, found out and analyzed the problems, summarized the results of the examination, and turned the unsolved problems to the next PDCA circulation. Continuous follow-up was performed until the results were satisfactory. Based on Sichuan Province Secondary Comprehensive Hospital Evaluation Standard, we analyzed the medical quality of the hospital before PDCA application (July to September 2014) and after PDCA application (October to December 2014). Results The incidence of medical nursing documents writing defects decreased from 12.4% to 5.9%. Hospital infection management defect rate declined from 13.5% to 5.3% and drug safety management defect rate declined from 11.8% to 2.5%, and all the differences were statistically significant (P<0.05). Conclusion PDCA cycle in the Tibetan hospital for medical quality examination has greatly improved the medical quality of Tibetan hospitals.

Citation： LiHong, GuHuiqiong, TanJun, ZhongLe. Application of PDCA Cycle in Examination of Medical Quality in Tibetan Area Hospitals. West China Medical Journal, 2016, 31(1): 154-156. doi: 10.7507/1002-0179.20160044 Copy

1.	李瑶, 张成普, 张晓刚. 临床路径中的PDCA循环[J]. 现代医院管理, 2011, 10(5):37-39.
2.	Jaimovich D, 周礼婷. 医疗质量管理九步法则[J]. 中国医院院长, 2011, 10(1):523-525.
3.	肖志华, 梁坤兰, 岑君. PDCA循环在临床路径和持续医疗质量改进中的应用[J]. 广西医学, 2012, 34(7):881-882.
4.	何朗, 李全康, 陈志严, 等. 四川藏区的医疗现状及解决策略初探[J]. 西部医学, 2011, 23(11):2288-2290.
5.	黄春花, 彭丽彬, 成沛玉. 实施PDCA循环提高乳腺癌术后患肢功能康复效果[J]. 护理实践与研究, 2010, 7(12):19-20.
6.	沈丽华, 陈卫东, 薛琳. 构建医院医疗质量控制体系的实践与探索[J]. 新疆医学, 2014, 44(3):119-121.
7.	叶承莉, 任家顺, 张沁宏, 等. 实时质量考评在医疗质量管理中的应用实践[J]. 重庆医学, 2011, 26(9):918-920.
8.	赵玲, 吴少敏. PDCA循环在医院管理中的应用[J]. 管理观察, 2013(1):202.
9.	汪志明, 邱智渊. PDCA循环在医疗核心制度落实中的应用[J]. 中国卫生质量管理, 2014, 5(3):6-8.
10.	刘冰, 马桂霞, 富秀玉. PDCA循环模式在医院感染管理中的应用[J]. 新疆医学, 2013, 43(6):116-117.
11.	张彬, 王胜. 国外医疗质量管理评价研究综述[J]. 医院院长论坛杂志, 2011, 20(3):426-427.
12.	张飚慷. PDCA原理在医疗质量管理中的应用[J]. 中国卫生产业, 2014(10):15-16.
13.	牛春平. PDCA循环法在护理风险管理中的应用[J]. 世界最新医学信息文摘, 2013, 13(16):399.
14.	杨娟, 杨钊. 医院对口援建工作模式与成效[J]. 解放军医院管理杂志, 2012, 19(1):44-45.
15.	王悦, 史仲初, 王翎. PDCA在核心制度监管中的应用[J]. 中国病案, 2011, 12(2):16, 15.

1. 李瑶, 张成普, 张晓刚. 临床路径中的PDCA循环[J]. 现代医院管理, 2011, 10(5):37-39.
2. Jaimovich D, 周礼婷. 医疗质量管理九步法则[J]. 中国医院院长, 2011, 10(1):523-525.
3. 肖志华, 梁坤兰, 岑君. PDCA循环在临床路径和持续医疗质量改进中的应用[J]. 广西医学, 2012, 34(7):881-882.
4. 何朗, 李全康, 陈志严, 等. 四川藏区的医疗现状及解决策略初探[J]. 西部医学, 2011, 23(11):2288-2290.
5. 黄春花, 彭丽彬, 成沛玉. 实施PDCA循环提高乳腺癌术后患肢功能康复效果[J]. 护理实践与研究, 2010, 7(12):19-20.
6. 沈丽华, 陈卫东, 薛琳. 构建医院医疗质量控制体系的实践与探索[J]. 新疆医学, 2014, 44(3):119-121.
7. 叶承莉, 任家顺, 张沁宏, 等. 实时质量考评在医疗质量管理中的应用实践[J]. 重庆医学, 2011, 26(9):918-920.
8. 赵玲, 吴少敏. PDCA循环在医院管理中的应用[J]. 管理观察, 2013(1):202.
9. 汪志明, 邱智渊. PDCA循环在医疗核心制度落实中的应用[J]. 中国卫生质量管理, 2014, 5(3):6-8.
10. 刘冰, 马桂霞, 富秀玉. PDCA循环模式在医院感染管理中的应用[J]. 新疆医学, 2013, 43(6):116-117.
11. 张彬, 王胜. 国外医疗质量管理评价研究综述[J]. 医院院长论坛杂志, 2011, 20(3):426-427.
12. 张飚慷. PDCA原理在医疗质量管理中的应用[J]. 中国卫生产业, 2014(10):15-16.
13. 牛春平. PDCA循环法在护理风险管理中的应用[J]. 世界最新医学信息文摘, 2013, 13(16):399.
14. 杨娟, 杨钊. 医院对口援建工作模式与成效[J]. 解放军医院管理杂志, 2012, 19(1):44-45.
15. 王悦, 史仲初, 王翎. PDCA在核心制度监管中的应用[J]. 中国病案, 2011, 12(2):16, 15.

Previous Article
腹主动脉瘤破裂急诊手术抢救的配合与体会
Next Article
Current Situation of Patient Safety Education and Its Countermeasures at Home and Abroad

West China Medical Journal

Application of PDCA Cycle in Examination of Medical Quality in Tibetan Area Hospitals

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content