目的

回顾分析2024 年江西省省级与市级超声专业质量控制中心的工作举措和成效。

方法

工作举措：年初有部署，组织学习《全面提升医疗质量行动计划（2023—2025 年）》；全年有落实，江西省省、市超声专业质量控制中心紧密联动，贯彻落实；年底有总结交流。工作成效分析：调研2023 年、2024 年江西省超声医疗10 项主要质量控制指标数据并采用非参数独立样本检验进行对比分析。

结果

江西省超声质量控制中心制定各类规章制度57 项，制定江西省同级别同类型医疗机构超声医疗质量控制指标与标准7 个，举办江西省超声医学质量控制培训每年1 届、市级超声医学质量控制培训＞11 次/年，全省市级超声专业质量控制中心全覆盖。超声医疗主要质量控制指标数据对比：与2023 年相比，2024 年超声诊断符合率、乳腺病变超声报告进行乳腺影像报告和数据系统分类率均有所提升[90.9（85.0，95.0）% vs 87.5（86.0，92.7）%；99.3（95.0，100）% vs 95.0（95.0，100）%]，差异具有统计学意义（Z=2.45、3.19，P=0.014、0.001）；门、急诊超声报告阳性率略有提升，但差异无统计学意义（P＞0.05）；住院超声检查48 h 内完成率、超声筛查中胎儿重大致死性畸形的检出率、超声报告书写合格率均有所下降[100（98.5，100）% vs 100（100，100）%；0（0，0）% vs 0（0，0）%；97.0（95.0，98.2）% vs 98.1（95.0，100）%]，差异具有统计学意义（Z=-4.80、-7.05、-4.72，P 均＜0.001），超声危急值10 min 内通报完成率、超声仪器质检率、住院超声报告阳性率、超声医师月均工作量均略有下降，但差异无统计学意义（P＞0.05）。

结论

2024 年江西省市超声专业质量控制中心工作紧密联动，江西省超声医疗质量提升初见成效。

Objective

To retrospectively analyze the implementation measures and effectiveness of the provincial and municipal ultrasound professional quality control centers in Jiangxi Province, in accordance with the national and provincial “Action Plan for Comprehensively Improving Medical Quality (2023-2025)”.

Methods

In terms of implementation measures, annual activities were structured in three phases: initial deployment at year-start, including organized study of the action plan; year-round implementation through close collaboration between provincial and municipal ultrasound quality control centers; and year-end summary and experiencesharing sessions.Regarding effectiveness analysis, nonparametric independent samples tests were used to compare 10 key ultrasound quality control indicators from 2023 and 2024 across Jiangxi Province.

Results

The Jiangxi Provincial Ultrasound Quality Control Center formulated 57 sets of rules and regulations, established 7 sets of quality control indicators and standards for same-level and same-type medical institutions in Jiangxi, conducted one annual provincial-level ultrasound medical quality control training program, and organized 11 municipallevel training sessions annually, achieving full coverage of all municipal ultrasound quality control centers across the province.Outcome indicators (2024 vs 2023) are as follows: there were significant improvements in ultrasound diagnostic accuracy rate [90.9(85.0, 95.0)% vs 87.5(86.0, 92.7)%, Z=2.45, P=0.014] and rate of BI-RADS classification application for breast lesion reports [99.3(95.0, 100)% vs 95.0(95.0, 100)%, Z=3.19,P＜0.001]; non-significant improvements (P＞0.05) in positive rate of outpatient/emergency ultrasound reports;significant declines in completion rate of inpatient ultrasound examinations within 48 hours [100(98.5, 100)% vs 100(100, 100)%, Z=-4.80, P＜0.001], detection rate of major lethal fetal malformations in ultrasound screening[0(0, 0)% vs 0(0, 0)%, Z=-7.05, P＜0.001], and ultrasound report documentation compliance [97.0(95.0, 98.2)% vs 98.1(95.0, 100)%, Z=-4.72, P＜0.001]; and non-significant declines (P＞0.05) in 10-minute notification rate for ultrasound critical values, ultrasound equipment quality inspection rate, positive rate of inpatient ultrasound reports, and average monthly workload per ultrasound physician.

Conclusion

The close collaboration between provincial and municipal ultrasound quality control centers in Jiangxi Province during 2024 demonstrates initial improvement in ultrasound medical quality.