| 摘要: |
| 目的 探索PDCA循环在提高脑卒中高危人群颈动脉超声筛查质量中的应用效果。方法 参照PDCA循环,随机抽取超声医学影像信息系统内2020年7月至2021年4月50份颈动脉超声检查图像及报告,按质量评分标准打分；以甲类图像报告达95%以上为本次目标,对图像报告中存在的问题提出解决方案。2021年5月-6月拟定对策。2021年7月至2022年4月抽取实施各项改进措施后50例颈动脉超声检查图像及报告进行评分,比较2021年和2020年的超声图像报告评分和临床满意度的差异。分析PDCA循环实施前、后颈动脉超声图像报告和临床满意度评分变化,通过培训学习、科内讨论、收集临床反馈的问题对颈动脉超声检查流程不断优化。结果 实施标准化医疗质量管理PDCA流程前,颈动脉超声检查甲类图像报告占58%(29/50),实施后甲类图像达82%(39/50)；超声图像报告评分从实施前(87.46±5.87分)提高到(92.74±3.57)分；临床满意度从实施前(84.46±6.48)分提高到(93.06±3.96分),差异具有统计学意义(P<0.05)。结论 PDCA循环有效的提高了颈动脉超声筛查图像质量、报告评分和临床满意度,可将其应用于超声科其他单病种质控中,以利于超声科医疗质量的不断提升。 |
| 关键词: 超声 质量管理 PDCA循环 颈动脉 |
| DOI： |
| 投稿时间：2022-05-18修订日期：2022-11-24 |
| 基金项目: |
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| Application of PDCA cycle in carotid ultrasound screening of stroke high-risk population in primary hospital |
| Dong Huiqin,Wang Yang,Peng Liu,Luo Li,Wu jinhua,Li Xiujuan,Lv zhihong |
| (Department of Ultrasound,Huangshi hospital of Traditional Chinese Medicine,Huangshi,435000;Hubei,China) |
| Abstract: |
| Objective To explore the application effect of PDCA cycle in improving the quality of carotid ultrasound screening in high-risk population of stroke. Method According to PDCA cycle, 50 carotid ultrasound images and reports in the ultrasound picture archiving and communication systems from July 2020 to April 2021 were randomly selected and scored according to the quality scoring standard;The goal of this time is to report more than 95% of class a images,Propose solutions to the problems existing in the image report.Formulate countermeasures from May to June 2021.From July 2021 to April 2022, 50 carotid ultrasound images and reports after the implementation of various improvement measures were selected for scoring,Compare the differences of ultrasound image report score and clinical satisfaction between 2021 and 2020.Analyze the changes of carotid ultrasound image report and clinical satisfaction score before and after PDCA cycle,Through training and learning, discussion in the Department and collection of clinical feedback, the carotid ultrasound examination process is continuously optimized. Result Before implementing the PDCA process of standardized medical quality management,The report of class a image of carotid ultrasound accounted for 58% (29 / 50), and the class a image reached 82% (39 / 50) after implementation;The score of ultrasound image report increased from (87.46 ± 5.87) to (92.74 ± 3.57);Clinical satisfaction increased from (84.46 ± 6.48) to (93.06 ± 3.96) before implementation,The difference was statistically significant (P < 0.05). Conclusion PDCA cycle can effectively improve the image quality, report score and clinical satisfaction of carotid ultrasound screening. It can be applied to other single disease germplasm control in ultrasound department, so as to improve the medical quality of ultrasound department. |
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