基于PDCA循环构建住院患者血糖主动干预管理模式的实践研究
Performance surveillance of active blood glucose Management during hospitalization Based on PDCA Cycle: theory and practice
背景 住院患者血糖控制的临床需求增加催生临床新技术与医疗模式转变,为医疗管理带来了挑战。目的 利用PDCA(Plan-Do-Check-Action)循环构建住院患者血糖主动干预运营管理模式。方法 从“人”、“机”、“料”、“法”、“环”五个维度抽象化实际管理问题,运用PDCA循环质量管理工具,通过“计划-执行-检查-处理”循环,推进运营管理模式构建。结果 建立多部门联动机制;形成分级管理制度与流程;开发和应用血糖管理信息化系统;形成质量控制体系和绩效运营保障;管理工作顺利推广,取得一定成效,血糖管理后患者72小时血糖达标率逐月上升。结论 我院基于PDCA循环构建住院患者血糖主动干预运营管理模式为其他医疗机构开展血糖管理工作提供借鉴参考,对提高住院患者血糖管理水平有重要意义。
Background The increased clinical demand for glycemic control in hospitalized patients has led to a new transformation of clinical technologies and medical models which has brought challenges to medical management. Objective To build an active blood glucose intervention operation and management model for inpatients by the PDCA (Plan-Do-Check-Action) Cycle. Methods Firstly we concertize the management problems through root cause analysis namely man - machine - material - method - environment. Then we use PDCA Cycle quality management tools to construct and improve management models persistently. Results We form an efficient multi-departmental team and classification management process for inpatients and established an informational blood glucose management system and quality control assessment indicators for management. Blood glucose management work was successfully promoted throughout the hospitaland the rate of blood glucose?raised up within 72 hours after blood sugar management. Conclusion Our hospital establish the multi-department linkage and informational support active blood glucose management model for inpatients based on PDCA which is a positive example for the other hospitals. It also has great significance for improving the blood glucose management.
童南伟、陈敏、高芸艺、张伟义、蒋艳、李大江、周益、李舍予、陈相军
临床医学医药卫生理论
血糖管理主动干预运营管理PDCA循环
童南伟,陈敏,高芸艺,张伟义,蒋艳,李大江,周益,李舍予,陈相军.基于PDCA循环构建住院患者血糖主动干预管理模式的实践研究[EB/OL].(2022-12-01)[2025-08-18].https://chinaxiv.org/abs/202212.00010.点此复制
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