基于PDCA循环的非计划再次手术管理方法设计与实现

目的 针对非计划再次手术管理需求设计了一种管理方法。为医院非计划再次手术的管理以及医疗质量改进提供参考。方法 参考国家对非计划再次手术管理的相关规范及标准文件,遵循 PDCA 循环的思想,结合信息技术,最终建立一个“非计划再次手术”专用的管理方法。结果 方法实施前后非计划再次手术的发生率有了显著的下降,发生率从方法实施前（2014年下半年）的1.02%降低到方法实施后（2015年7—12月）的0.71%。结论 方法有效降低了非计划再次手术发生率,符合医疗管理的需求,有利于提升手术质量,以实现医疗质量的持续性改进。

Design and Implementation of Unplanned Re-operation Management Based on PDCA Cycle

Objective To design an approach to manage unplanned re-operation and provide a new choice for the hospital in order to improve medical service in this field. Methods According to national standard & guide documents and following the thought of PDCA, the paper wants to establish a professional management approach for unplanned re-operation with information technology. Application effect. The incidence rate of unplanned re-operation has increased significantly after this approach application, from 1.02% (the second half of 2014) to 0.71% (the second half of 2015). Conclusion The management approach in this paper can decrease the incidence rate of unplanned re-operation effectively. The application of this approach could improve medical treatment quality and match the demands of medical management.