【摘要】 目的 探讨“多层级-数字化-项目制”协同质控模式在医院医疗质量管理中的应用。方法 采用t检验、χ~2检验比较“多层级-数字化-项目制”协同质控模式实施前后的情况。结果 “多层级-数字化-项目制”协同质控模式实施后，医疗质量安全指标如抗菌药物使用强度降低3.68 DDDs、手术患者并发症发生率下降0.21个百分点，医务人员工作效率指标如工作任务完成率提高8.55个百分点，就医效率指标如就医等待时间降低11.42 min，医务人员满意度指标如工作满意度提升0.84分，患者满意度指标如就诊体验满意度提高0.48分，各项指标差异均有统计学意义（P<0.001）。结论 “多层级-数字化-项目制”协同质控模式在提升医院质量与安全、降低不良事件发生率以及提高患者、医务人员满意度方面具有较好的成效，该协同质控模式构建简洁、可复制性强，可以在全国二级及以上公立医疗机构推广试行。更多还原

【Abstract】 Objective To explore the application of the “multi-level-digitalization-project-based” collaborative quality control model in hospital medical quality control and improvement. Methods The t-tests and chi-square tests were used to compare the situation before and after implementation of the“multi-level-digitalization-project-based”collaborative quality control model. Results After the implementation of the“multi-level-digitalization-project-based”collaborative quality control model,the medical quality and safety indicators such as a reduction of 3.68 DDDs in the intensity of antibacterial drug use and a decrease of 0.21 percentage points in the incidence of surgical patient complications,the work efficiency indicators of medical staff such as an increase of 8.55 percentage points in the completion rate of work tasks,the medical efficiency indicators such as a decrease of 11.42 min in waiting time for medical treatment,the satisfaction indicators of medical staff such as an increase of 0.84 points in job satisfaction,and the patient satisfaction indicators such as an increase of 0.48 points in satisfaction with medical experience,the differences in various indicators were all statistically significant(P<0.001). Conclusion The “multi-leveldigitalization-project-based”collaborative quality control model has achieved remarkable results in improving hospital quality and safety,reducing the incidence of adverse events,and enhancing the satisfaction of patients and medical staff. This quality control model is simple to construct and highly replicable, and can be promoted and piloted in public medical institutions at or above the second level nationwide.更多还原