急诊科医疗质量管理与持续改进方案.docxVIP

急诊科医疗质量管理与持续改进方案

目录

1.内容综述................................................3

1.1制定背景.............................................3

1.2制定目的.............................................4

1.3适用范围.............................................4

2.急诊科医疗质量管理概述..................................5

2.1医疗质量管理的重要性.................................6

2.2急诊科医疗质量管理特点...............................7

3.急诊科医疗质量管理与持续改进目标........................8

3.1总体目标.............................................9

3.2具体目标............................................10

4.急诊科医疗质量管理组织架构.............................10

4.1组织结构图..........................................11

4.2职责分工............................................12

5.急诊科医疗质量管理关键指标.............................12

5.1指标体系............................................14

5.2指标监测方法........................................14

6.急诊科医疗质量持续改进措施.............................15

6.1预防措施............................................16

6.1.1风险评估与控制..................................17

6.1.2患者安全措施....................................18

6.2改进措施............................................20

6.2.1医疗流程优化....................................20

6.2.2医疗质量监控....................................21

6.2.3医疗人员培训....................................22

6.3应急处理措施........................................23

7.急诊科医疗质量管理与持续改进实施步骤...................24

7.1计划阶段............................................25

7.2执行阶段............................................26

7.2.1按计划执行......................................27

7.2.2监控执行情况....................................28

7.3检查阶段............................................29

7.3.1评估改进效果....................................31

7.3.2发现问题与不足..................................32

7.4改进阶段............................................33

7.4.1修订改进措施....................................34

7.4.2优化管理流程....................................35

8.急诊科医疗质量管理与持续改进的评估与反馈......