探索标准化医疗质量管理PDCA流程及其在超声科质量管理中的应用效果。

建立标准化医疗质量管理PDCA流程并应用于超声医学科医疗质量管理，探索该模式实施前、后科室超声报告评分和临床满意度变化。随机抽取超声影像归档和通信系统内2017年下半年和2014年下半年各20份由3年以下住院医师签发的腹部“肝胆胰脾肾”超声检查报告，由腹部专业组组长进行超声报告盲法评阅；查阅2017年下半年临床满意度数据和实施标准化医疗质量管理PDCA流程前的2014年下半年临床满意度数据。采用Student's t检验比较2017年下半年和2014年下半年的超声报告评分和临床满意度的差异。

科室实施标准化医疗质量管理PDCA流程后，超声报告评分高于实施前［（93.6±1.5）分vs（87.9±2.0）分］，差异具有统计学意义（t=2.251，P=0.029）；临床满意度得分高于实施前［（93.0±0.6）分vs（90.1±1.5）分］，差异具有统计学意义（t=-5.078，P=0.007）。

标准化医疗质量管理PDCA流程的实施提高了超声科的超声报告评分和临床满意度，是保证并提升超声科医疗质量的有效方法。

To evaluate the application effect of PDCA procedure of standardized medical quality management in ultrasound department.

The PDCA procedure was applied on the medical quality management of ultrasound department. The changes of ultrasound report score and clinical satisfaction were evaluated before and after the implementation of the PDCA procedure. Twenty abdominal ultrasound examination reports issued by residents with less than 3 years of experience were randomly selected in the second half of 2017 and the second half of 2014 in the ultrasound Picture Archiving and Communication System, and the head of the abdominal professional group conducted blind evaluation and scoring of the ultrasound reports; the clinical satisfaction data in the second half of 2017 were reviewed with the data in the second half of 2014 before the implementation of PDCA procedure. The scores of the ultrasound reports and the clinical satisfaction in the second half of 2017 and the second half of 2014 were compared by Student's t test.

After the implementation of PDCA procedure, the ultrasound report score was (93.6±1.5) points, which was significantly higher than that before PDCA procedure was applied [(87.9±2.0) points, t=2.251, P=0.029]. The clinical satisfaction was (93.0±0.6) points, which was also significantly higher than that before PDCA procedure was applied [(90.1±1.5) points, t=-5.078, P=0.007].

The PDCA procedure of standardized medical quality management can improve the ultrasound report score and clinical satisfaction effectively, which is an effective way to ensure and improve the quality of ultrasound medical service.