摘要
目的分析复盘行动在会诊质量提升中的应用效果。方法建立复盘行动小组,于2023年3月—2024年3月对中山大学附属第三医院会诊实施复盘行动,包括目标回顾、评估结果、分析原因、总结经验4个步骤,阐述医院复盘行动在会诊中的现状。严格按照复盘行动实施步骤进行渐进式会诊复盘,首先针对目标进行目标回顾,核心是回顾当初的目的和期望的结果;其次评估结果,核心是对照原来的目标,找出执行过程中的亮点与不足之处;然后分析原因,主要核心为分析成功的关键因素,探索失败的根本原因;最后总结经验,核心是通过反思,总结心得体会,找出规律,并作出行动计划。结果根据复盘行动,医院实施了建立健全移动端院内大会诊申请闭环流程,通过互联网医院平台整合院外会诊申请、审批、缴费机制全流程,建立健全会诊监督制度等6项措施,院内及院外会诊的线上申请、审批率及院外会诊互联网医院平台缴费率均已达到100%,规范了会诊流程,提高了会诊质量与效率。结论复盘行动可以有效提升会诊效率,提高会诊质量,规范会诊流程。
Objective To analyze the application effect of review action in improving the quality of consultation.Methods A review action team was established to implement a review action for consultations at the Third Affiliated Hospital of Sun Yat-sen University from March 2023 to March 2024.The review action included four sequential steps:goal review,outcome evaluation,root cause analysis,and experience summarization,outlining the current implementation status of the review action in consultations.The review action followed a progressive approach:first,a target review was conducted,focusing on revisiting the initial objectives and expected outcomes;second,the results were evaluated by comparing them with the original goals,identifying strengths and weaknesses in the execution process;third,the reasons were analyzed,focusing on determining success drivers and failure factors;finally,experiences were summarized,emphasizing reflection,identifying patterns,and formulating action plans for improvement.Results Based on the review action,the hospital implemented six key measures:establishing a closed-loop process for large consultation applications via a mobile health platform,integrating the full consultation process,including application,approval,and payment mechanisms for external consultations via the online hospital platform,establishing and refining a consultation supervision system,optimizing the consultation process,etc.As a result,the online application and approval rates for both internal and external consultations,as well as the payment rate for external consultations via the online hospital platform,have all reached 100%.These measures have effectively standardized the consultation process and significantly improved consultation quality and efficiency.Conclusion Review action is an effective approach to enhancing consultation efficiency,improving consultation quality,and standardizing consultation processes.
作者
李珍珍
赵素林
何虹
LI Zhenzhen;ZHAO Sulin;HE Hong(The Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510630,China)
出处
《现代医院》
2025年第2期220-223,共4页
Modern Hospitals
关键词
复盘行动
会诊质量
应用
Review action
Consultation quality
Application
