Project Title Problem Statement Establishment of "Ultrasound Critical Value Reporting System" Problem: On June 28, 2011, the hospital quality management team found that there was a diagnostic ultrasound that met the definition of "critical value" during the "Monthly Service Quality Assessment" of the ultrasound department. "On June 28, 2011, the hospital's quality management team conducted a monthly service quality assessment of the ultrasound department and found that ultrasound diagnostic items that met the definition of "critical value" had not been reported to the clinical department. Critical value reporting enables clinicians to receive critical value information in a timely manner, so that they can have the best chance to save the patient's life by giving the patient timely and effective interventions as soon as possible. In addition, it can enhance the sense of responsibility of medical and nursing staff, and effectively guarantee medical safety. Therefore, it is necessary to establish the "ultrasound critical value system". Establishment of "Ultrasound Critical Value Reporting System" and its gradual implementation. He xx Group members: Cai xx, Liu Qiaoqiao, Hong xx
Expected goals Project leader Root cause analysis (around the people, systems, processes, working environment to analyze)
1, did not set up a sound "ultrasound critical value" reporting system; 2, members of the department do not understand the "critical value" of the "critical value" of the "critical value" of the "critical value" of the "critical value" of the "critical value" of the "critical value" of the "critical value" of the "critical value" of the ultrasound". The meaning of "critical value" is not understood by the members of the department; 3, at present, the radiology, ultrasound and other functional departments in line with the definition of the examination results of the definition of critical value into the scope of the management of "critical value" has not yet formed a unified standard, there is no corresponding regulations to follow; 4, the medical staff of the safety of medical awareness is weak, coupled with the number of outpatient visits to the clinic. The medical staff's awareness of medical safety is weak, coupled with the high number of outpatient visits and busy workload, resulting in underreporting.
Implementation measures
Organization of departmental personnel to carry out "critical value reporting system" training led by the Department of Medical Education, clinical departments, ultrasound together to develop the "ultrasound critical value report content"; organization of departmental personnel to carry out "ultrasound critical value report content"; organization of departmental personnel to carry out "ultrasound critical value report content"; organization of departmental personnel to carry out "ultrasound critical value report content". The Department of Medical Education took the lead in developing the "Ultrasound Critical Value Reporting Content" with the Clinical Department and the Department of Ultrasound; and organizing training for the departmental staff on the "Ultrasound Critical Value Reporting Content". After the training, members of the department have gained a high degree of awareness of the critical value system, understood the importance of establishing the ultrasound critical value system, and strengthened their awareness of medical safety and responsibility; at present, they have started to report ultrasound diagnostic items that meet the definition of "ultrasound critical value" to the clinical departments gradually. At present, ultrasound diagnostic items that meet the definition of "ultrasound critical value" have started to be reported to clinical departments one after another. However, the system is not yet sound and requires further continuous improvement. The establishment of the ultrasound critical value system will enable clinicians to receive timely information on critical values, which will allow them to obtain the best chance of resuscitation and ensure safe medical treatment; in addition, the establishment and improvement of the system can be used for the enjoyment of the relevant personnel in this department and the clinical departments.