探讨安徽省超声科危急值管理中计划-执行-检查-处理（PDCA）循环模型的应用现状，通过针对性干预提升危急值上报及时性及医疗质量。

安徽省超声医学质量控制中心于2025年2月下发危急值上报调查表，调查内容主要包括被调查人员及其所在医院的基本信息、危急值上报中遇到的瓶颈问题、相关知识的掌握情况。通过在调查表中嵌入《超声诊断专业医疗质量控制指标（2022年版）》，在开展调查的同时进行相关知识强化培训，并通过统计2025年第1季度危急值通报率以评估培训后的效果。

调查发现危急值上报相关知识培训力度不够、上报流程重复、上报的危急值病例仅可部分得到及时反馈是危急值通报率较低的主要原因。经过强化培训，2025年第1季度危急值通报率为99.53%，与安徽省2023年度的97.73%与2024年度的98.66%相比均得到提高，高于全国2023年的平均值（99.38%）。

PDCA循环模型在安徽省超声科危急值上报应用中发现，相关知识培训力度不够、上报流程重复、上报的危急值病例仅部分得到及时反馈是上报体系中现存的制度瓶颈与实施障碍，通过进行针对性干预可提高危急值通报率。

To evaluate the implementation of plan-do-check-act (PDCA) cycle in critical value management within ultrasound departments across Anhui Province, in order to enhance the timeliness of reporting and healthcare quality through targeted interventions.

In February 2025, the Anhui Provincial Ultrasound Medicine Quality Control Center issued a critical value reporting survey to healthcare institutions across the province. The questionnaire encompassed three core domains: (1) demographic characteristics and institutional profiles of respondents; (2) operational bottlenecks encountered during critical value identification and reporting workflows; and (3) competency assessment on standardized protocols for critical value management. To synergize knowledge reinforcement with data collection, the 2022 edition of Medical Quality Control Indicators for Ultrasound Diagnosis was embedded as a normative reference appendix within the survey instrument. This design enabled real-time alignment of respondents' operational knowledge with national standards during survey completion. The intervention efficacy was quantitatively evaluated by analyzing the critical value reporting rate during the first quarter of 2025, which served as a key performance indicator for post-training quality improvement.

The survey revealed that insufficient training on critical value reporting knowledge, redundant reporting processes, and timely feedback for only a portion of reported critical value cases were the primary factors contributing to the low critical value reporting rate. Following targeted training programs, the critical value reporting rate in the first quarter of 2025 reached 99.53%, showing improvement compared to Anhui Province's rates of 97.73% in 2023 and 98.66% in 2024, and exceeding the national average of 99.38% in 2023.

In the implementation of PDCA cycle for critical value reporting in ultrasound departments across Anhui Province, insufficient training intensity, redundant reporting processes, and timely feedback on few reported critical value cases represent institutional bottlenecks and implementation barriers within the reporting system. Targeted interventions can improve the critical value notification rate.​