Recently, the General Office of the National Health and Family Planning Commission issued six professional quality control indicators (20 15 version) on anesthesia, critical care medicine, emergency, clinical examination, pathology and hospital infection. The main points are now explained as follows:
I. Drafting background and necessity
Strengthening medical quality management and control to ensure medical quality and medical safety is the eternal theme of medical management. The fundamental purpose of quality control is to promote the standardization and homogenization of medical services in China and narrow the gap of medical quality between regions and different medical institutions. With the development of China's medical and health undertakings and the deepening of medical and health system reform, it is of great practical significance to further strengthen the management and control of medical quality for the implementation of current public hospital reform measures and the realization of medical reform goals.
In recent years, the National Health and Family Planning Commission has successively established some professional national medical quality control centers to actively promote the quality control process. The construction of provincial medical quality control centers is also advancing, with more and more professionals. Medical quality control index is an important tool to implement medical quality management and control. However, because there is no unified quality control index for each major in China, it is impossible to compare the same major or the same diagnosis and treatment method horizontally between regions and medical institutions, and it is impossible to truly understand the baseline level and development of national quality work. Therefore, it is very necessary and urgent to formulate unified medical quality control indicators in line with China's national conditions as soon as possible.
Second, the drafting process
In order to further strengthen the management and control of medical quality and improve the construction of medical quality management and control system, our bureau organized quality control centers of various professions in China and drafted medical quality control indicators of relevant professions. Considering that anesthesia, critical medicine, emergency, clinical examination, pathology and hospital infection are platform disciplines, and the standardization of their quality management plays an important role in the medical quality of other specialties, we first select these six specialties and formulate their main quality control indicators. In the process of drafting, professional national quality control centers extensively solicited experts' opinions, combined with internationally recognized relevant standards, based on China's national conditions, adhered to the principle of scientific, flexible, practical, independent and feasible index establishment, and made full use of index screening methods such as group decision-making and cluster analysis, taking into account structural quality, link quality and terminal quality. After the first draft of quality control indicators is completed, opinions are repeatedly sought in the national industry and revised and improved. Finally, the medical quality control indicators (version 20 15) of six platforms, such as anesthesia, were formed and released in advance.
Third, the main content
The formulation of six professional quality control indicators (version 20 15) of anesthesia, critical care medicine, emergency, clinical examination, pathology and hospital infection, based on the actual quality control work of each major, selected 83 indicators with certain representativeness, practicability and operability from three aspects: structural indicators, process indicators and result indicators. Quality control indicators basically cover the whole process of quality and safety management in various professions, and most indicators can be automatically collected through information. Through data analysis and information feedback, it lays a foundation for realizing information quality control of real-time data acquisition.