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Dołączył: 13 Gru 2010
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 Wysłany: Nie 21:03, 20 Lut 2011 Temat postu: Strengthen the medical quality management to short |
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,[link widoczny dla zalogowanych]
Strengthen the medical quality management to shorten the average length of stay
, Causing the patient Coupled-road casualties, visitors disease, injury, death, this part of the inconvenience,[link widoczny dla zalogowanych], it is often prolonged hospitalization. Public health system, as companies and enterprises involved in the management of medical quality assessment resulted in a variety of factors still remain in the part of the wages and bonuses,[link widoczny dla zalogowanych], based on the quality assessment of medical costs can not be fully integrated into the quality assessment, quality assessment of inadequate medical care. Shorten the average length of stay, first of all be based on improving health care quality, to seize the assessment mechanism of the establishment, operation and management. Efforts in the medical aspects of quality, strengthen the comprehensive management within hospitals to adapt to a market economy, reform of the health care system needs to adapt. 2. Shorten the average length of stay 2.1 Strengthening management measures and improving quality measures to improve the quality of the grasp quality management training in the medical management of the first arrests, improve the quality of medical personnel to develop long-and short-term consistency, different levels of staff development plans,[link widoczny dla zalogowanych], develop job Shorten the average length of stay management process to seize the seven elements of quality; 1. AGED front door,[link widoczny dla zalogowanych], emergency medical care quality. 2. Strict implementation of three people at the hospital caught in Charge diagnosis, treatment quality. 3. Medical departments accuracy of the inspection report. 4. Operating room before surgery to reduce waiting time. 5. Strengthen the hospital infection control measures. 6. Medical equipment, apparatus, good condition. 7. Logistics service system for the clinical front line 2.2 to shorten the average length of stay established as the center of the medical evaluation system established in our hospital to reduce the average length of stay of medical quality as the center of the target management responsibility system, formulate the hospital length of stay <15 days of the general objective, the target layer layer decomposition, to strengthen macro control, since 1992 the average length of stay decreased year by year, the number of patients increased year by year hosting, the quality of assessment practices by experienced health care: medical quality assessment from the date on shortening the average length of stay management and control role, but need assessment mechanism , operation and management. Must establish a quality assessment mechanism for the center to the medical center to expand services, quality and efficiency priority assessment mechanism. 2.3 The average length of stay at departments to establish standards department length of stay, nearly three years of clinical subjects is based on daily average length of stay, considering the patient's condition factor, were approved by the department, the average length of stay, issued assessment indicators, and the actual circumstances, be adjusted each year, and then index the decomposition of the department to ensure completion of hospital-wide indicators. The average hospital stay of 2.4 days of single disease in the process of reducing the average length of stay, clinical implementation of a single disease control subjects to investigate the various departments of clinical common disease, the average length of stay have greater impact on the disease, with reference to The Ministry of Health asked 102 single disease to disease development objective law on a scientific basis to determine the various subjects treated in a single disease category, and average length of stay of single disease. The average single-disease quality control of hospital stay led to the construction department and subject specialist level, the department actively carry out technical projects to enhance market competitiveness, and promote health care quality improvement. 2.5 Application of total quality management techniques reduce the average length of stay at the hospital total quality management techniques to implement the main draw in Japan, the United States and management of industrial enterprises, the basic principles of quality management. Total quality management techniques is the PDCA cycle approach, in accordance with the planning, implementation, inspection, management of the summary. Shorten the average length of stay in accordance with the laws of science management, in accordance with four stages and eight steps, in particular: to find out the average length of stay of the problem, analysis of the reasons the average length of stay, seize the main factors, the formulation of measures ( P phase), the implementation of measures (D stage), the implementation of measures to check the effect of (C phase), to consolidate achievements made there are still problems, go to the next cycle (A phase). Were in different stages using different techniques and charts. In summary, ignoring the various objective reasons, and the average hospital length of stay of the law of the one-sided simply shorten the average length of stay is unrealistic. To tap the potential within hospitals to improve the overall efficiency and economic benefits, reduce the average length of stay from the staff is good way to expand the content development.
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