| 何 敏,曾福安,周正荣.干部保健病房实施走动式管理效果初探[J].中国肿瘤,2014,23(11):925-927. |
| 干部保健病房实施走动式管理效果初探 |
| Effect of Management by Wandering Around in Cadre Health Care Ward |
| 投稿时间：2014-07-30 |
| DOI：10.11735/j.issn.1004-0242.2014.11.A010 |
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| 中文关键词: 医疗质量 干部保健 走动式管理 |
| 英文关键词:medical quality cadres medical care management by walking around |
| 基金项目:上海市卫生局局级科研项目（2011GB29） |
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| 中文摘要: |
| 摘 要：［目的］ 探讨干部保健病房实施走动式管理模式对干部保健质量安全控制和运行指标的效果。［方法］ 干部保健病房管理人员坚持每天不定时下病房，跟班巡查，了解临床工作的落实和医务人员的需求，并按照医院管理质量标准动态管理。走动式质量管理实施2年后，通过比较实施前后的质量和运行指标，评价其效果。［结果］ 实施走动式管理后，医疗护理质量、病史书写甲级率及患者满意度等5项质量控制指标高于实施前（P均<0.05），手术例数、平均住院日、病床周转率3项运行指标得分与实施行比较有统计学差异(P均<0.05）。［结论］ 干部保健病房实施走动式管理，能及时发现工作中的不足并使其改进，以提高干部保健质量和服务能力。 |
| 英文摘要: |
| Abstract：［Purpose］ To investigate the effect of management by wandering around(MBWA) in cadre health care ward. ［Methods］ According to the hospital management standard，the managers insisted in patrolling and contingent survey in the unit everyday，then found out the implementation of the clinic work and the demand of medical staff. After two years of MBWA， the effect of quality and performance indicators of MBWA was evaluated. ［Results］ The quality control indexes including score health care quality，rate of grade-A medical history and patient satisfaction were higher than those before MBWA. And the operation indexes such as operation number，average inpatient day and bed-turnover rate were significantly different compared to those before MBWA(P all <0.05).［Conclusions］ The implementation of MBWA can discover and solve the problems in clinical work，and then improve health care quality and service ability in cadre health care ward. |
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