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      [1]楊廷龍馬玲孫陶邢澤紅楊麗媛馮娟馮琳楊帆何治平張煒.某院三級查房考核質量分析[J].中國衛生質量管理,2021,28(08):024-26.[doi:10.13912/j.cnki.chqm.2021.28.8.07 ]
       YANG Tinglong,MA Ling,SUN Tao.Quality Analysis of Tertiary Ward Round Assessment in a Hospital[J].Chinese Health Quality Management,2021,28(08):024-26.[doi:10.13912/j.cnki.chqm.2021.28.8.07 ]
      點擊復制

      某院三級查房考核質量分析
      分享到:

      《中國衛生質量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

      卷:
      第28卷
      期數:
      2021年08期
      頁碼:
      024-26
      欄目:
      醫療質量
      出版日期:
      2021-08-28

      文章信息/Info

      Title:
      Quality Analysis of Tertiary Ward Round Assessment in a Hospital
      作者:
      楊廷龍馬玲孫陶邢澤紅楊麗媛馮娟馮琳楊帆何治平張煒
      石嘴山市第二人民醫院
      Author(s):
      YANG TinglongMA LingSUN Tao
      Second People’s Hospital of Shizuishan
      關鍵詞:
      醫療質量醫師三級查房制度考核詞云圖
      Keywords:
      Medical Quality Physician Tertiary Ward Round System Assessment Word Cloud Map
      分類號:
      R197.31;R197.32
      DOI:
      10.13912/j.cnki.chqm.2021.28.8.07
      文獻標志碼:
      A
      摘要:
      目的了解三級查房中各級醫師存在問題,提出改進策略。方法由7名具有高級職稱的臨床專家,按照統一評分標準進行觀摩并打分,利用詞云圖分析存在問題。結果一級醫師存在輔助檢查解讀不全面、疑難點報告不清晰、病歷陳述缺項、查體手法不規范及查體前后未執行手衛生等問題;二級醫師存在解答疑難問題不全面、臨床思維講解不透徹及查體糾正不到位等問題;三級醫師存在對國內外最新知識進展講解不全面及對查房內容點評不到位等問題。結論各級醫師查房中都存在一定問題。醫院管理者應針對不同級別醫師提供個性化培訓,促其努力提升醫療服務能力。同時,樹立優秀科室榜樣,充分發揮榜樣帶動作用。此外,還應充分利用人工智能技術輔助。
      Abstract:
      ObjectiveTo investigate the problems of physicians at all levels of the tertiary ward round and to propose improvement strategy.MethodsSeven clinical experts with senior professional titles observed and scored according to the unified scoring standards. Problems were analyzed by word cloud map.ResultsFirst-level physicians had problems such as incomplete interpretation of auxiliary examination, unclear report of difficult points, missing items in medical record statement, non-standard physical examination techniques and lack of hand hygiene before and after physical examination. Second-level physicians had problems such as incomprehensive answers to the difficult questions, unthorough explanation of clinical thinking and incomplete correction of physical examination. Third-level physicians had problems such as incomplete explanation of the latest knowledge progress at home and abroad and incomplete comment on the contents of ward rounds.Conclusion There were some problems in ward rounds by physicians at all levels. Hospital managers should provide personalized training for physicians of different levels to promote their efforts to improve their medical service ability. Furthermore, it should set up excellent department example, give full play to the role of example; and it can also make full use of artificial intelligence technology to assist.

      參考文獻/References:

      [1]醫療質量安全核心制度之三級查房制度[J].中國衛生質量管理,2018,25(4):49. [2]沈麗華,張艷萍.規范三級醫師查房確保醫療質量和醫療安全[J].新疆醫學,2013,43(3):119-121. [3]張家敏,厲玲玲,季敬偉,等.三級查房評估方式改進實踐[J].中國醫院,2015,19(5):66-68. [4]鄢 雷,董 成,馮 謙,等.我區醫院“三級醫師查房”情況調研總結[J].中國病案,2009,10(10):20-22. [5]許震穎,霍士生.抓好主治醫師查房是提高醫療質量的關鍵[J].中國衛生質量管理,2010,17(6):20-22. [6]楊 林,湯紅林,劉 勇,等.三級醫師查房制度的現狀、成因及對策分析[J].醫學信息,2014(9):43-44. [7]徐麗芳,鄭逸飛,陶春牡.醫療查房存在的問題與改進措施[J].江蘇衛生事業管理,2011,22(5):49-51. [8]趙 薇,樊小明,甄海寧.746份終末病案上級醫師查房記錄的質量分析[J].中國病案,2013,14(7):14-15. [9]張珊紅,王冠英,朱镕,等.高年資主治醫師查房考核的質量評價[J].中國衛生質量管理,2013,20(1):40-43. [10]張晟瑜,葉 葳,劉忻超,等.加強總住院醫師制度在內科住院醫師規范化培訓中的作用[J].基礎醫學與臨床,2016,36(10):1464-1466. [11]宋宣克,張文強,張 丹,等.情景模擬教學在胸外科住院醫師規范化培訓中的應用及效果[J].河南外科學雜志,2020,26(5):177-178. [12]張云鋒,張 佳,王健生,等.住院總醫師培訓在胸外科住院醫師規范化培訓中的作用[J].西北醫學教育,2016,24(4):643-645. [13]黃馨瑩.中國全科主治醫師崗位勝任力模型構建研究[D].沈陽:中國醫科大學,2020. [14]杜天竹,劉小樂,韋瑞紅,等.深圳市民營醫院婦產科三級醫師查房問題分析與建議[J].中國衛生質量管理,2014,21(5):30-33. [15]吳曼琪,潘習龍,程 迪,等.基于臨床大數據的醫療質量監控輔助系統探討[J].中華醫院管理雜志,2020,36(1):53-54. [16]沈 鑫,李曉晴,徐翠香,等.基于人工智能的電子病歷實時質量控制探索[J].中華醫院管理雜志,2020,36(3):206-207.

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      更新日期/Last Update: 2021-08-28
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