北京市血液透析中心质控持续干预方案及其效果

Continuous intervention programs on quality control in Beijing hemodialysis centers and their effects

    摘要
  • 摘要:
    目的 分析北京市血液透析中心2023-2024年质控改进效果, 为优化区域血液透析质量管理提供依据。
    方法 2023年及2024年采用分层随机抽样法, 按医院级别(三级、二级、一级)抽取北京市36家(2023年)和39家(2024年)血液透析中心进行质控检查, 针对2023年质控检查问题实施专项培训、应急演练及信息化建设等干预整改措施, 对比两年质控检查及薄弱环节改进情况。
    结果 质控总得分从(92.12±5.44)分提升至(94.82±3.71)分(P=0.016)。电子病历管理不达标率从75.00%降至41.03%(P=0.003), 应急预案缺陷率从22.22%降至5.13%(P=0.030)。
    结论 针对性质量改进干预措施可有效提升血液透析质控水平, 需持续强化基层机构信息化能力及院感动态监测机制。

     

    Abstract:
    OBJECTIVE To analyze the effectiveness of quality control improvements in Beijing hemodialysis centers from 2023 to 2024, providing a basis for optimizing regional hemodialysis quality management.
    METHODS In 2023 and 2024, stratified random sampling was employed to select 36(in 2023) and 39(in 2024) hemodialysis centers in Beijing based on hospital levels (tertiary, secondary and primary) for quality control inspections.Specialized training, emergency drills and information construction were implemented as intervention measures to address issues identified in the 2023 quality control inspections.The quality control inspections and improvements in weak aspects were compared between the two years.
    RESULTS The overall quality control score increased from (92.12±5.44) to (94.82±3.71)(P=0.016).The non-compliance rate of electronic medical record management decreased from 75.00% to 41.03%(P=0.003), and the defect rate in emergency plans decreased from 22.22% to 5.13%(P=0.030).
    CONCLUSIONS Targeted quality improvement interventions can effectively enhance quality control levels.It is necessary to continuously strengthen the information capabilities of primary institutions and the dynamic monitoring mechanisms for hospital-associated infection.

     

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