现代医药卫生2016，Vol.32Issue(23)：3586-3588,3.DOI:10.3969/j.issn.1009-5519.2016.23.002
应用PDCA循环降低出院患者失访率效果研究
Study on effect of PDCA cycle application in reducing lost of follow up rate among discharged patients
摘要
Abstract
Objective To investigate the application effect of plan-do-check-action(PDCA) cycle in reducing the lost of follow up rate among discharged patients. Methods The discharged inpatients of this hospital from January 2014 to June 2015 were selected. Based on the problem of high lost of follow up rate found in telephone follow-up work,the PDCA cycle was used to conduct the persistent quality improvement in main causes. Results After implementing the PDCA cycle management,the lost of follow up rate of telephone follow-up was dropped from 34.89%(17 890/51 282) in the second half of 2013 to 26.08%(14 499/55 592) in the first half of 2014,the difference was statistically significant(χ2=979.01,P<0.001). The lost of follow up rates of telephone follow-up in the second half of 2014 and the first half of 2015 were 25.54%(14 914/58 398)and 23.52%(13 607/57 857) respec-tively,the difference was statistically significant compared with those in the first half of 2014 (26.08%)(P<0.001),which prompted that the lost of follow up rate was gradually decreased year by year ,moreover reached the expected target value (≤27%,≤25%). Conclusion Applying the PDCA cycle management can standardize the telephone follow-up work,significantly reduces the lost of follow up rate and persistently improves the quality of follow-up work.关键词
全面治疗管理/健康教育/护理工作Key words
Total quality management/Health education/Nursing services引用本文复制引用
武倩,周泓羽,赵庆华..应用PDCA循环降低出院患者失访率效果研究[J].现代医药卫生,2016,32(23):3586-3588,3.基金项目
国家临床重点专科建设项目（财社[2010]305）；重庆医科大学附属第一医院院级研究项目（HLJJ2013-28，HLJJ2014-07）。 （）
