高山雪莲W 发表于 2022-7-15 23:14

感控专家聊评审-王世浩丨第11期:不要遗漏《国家医疗质量安全改进目标》中的评审要求

本帖最后由 高山雪莲W 于 2022-7-15 23:15 编辑

感控专家聊评审-王世浩丨第11期:不要遗漏《国家医疗质量安全改进目标》中的评审要求

原创   王世浩   感染视界   2021-05-12 19:32



作者:王世浩 山东中医药大学第二附属医院
   《 三级综合医院评审标准实施细则(2011版)》发布时隔九年,国家卫健委于2020年12月28日发布了《三级医院评审标准(2020年版)》,为迎接新一轮等级医院评审,让大家更好的理解和落实新版评审各项条款,SIFIC感染官微正式开辟全新专栏——《感控专家聊评审》,将从“评审专家”和“被评单位”两个不同视角解读和探讨新版评审标准各项条款的正确迎检与精准落实。
本期专栏我们邀请到山东中医药大学第二附属医院王世浩主任(SIFIC版主-石桥)就《国家医疗质量安全改进目标》相关内容进行探讨。

第十一期

在三级医院评审标准(2020年版)中,除了明显的院感相关条款,还有一些隐藏在其他条款之中,比如第二章《医疗服务能力与医院质量安全指标》的“第二部分 医院质量指标”中第一款“年度国家医疗质量安全目标改进情况”。
而在2021年的年度国家医疗质量安全目标中,就有三项与感控工作有关:
这三个感控相关目标的简介与核心策略见下表:
从该表可以看出,这三个目标的核心策略大体相同,实施的路线图如下:data:image/png;base64,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为推进2021年度国家医疗质量安全目标,国家卫健委要求,要积极创新工作机制和方式方法,注重破除原有管理模式的部门、学科壁垒和工作障碍,提倡多部门、多学科有效协同,按照各目标核心策略制定符合本机构实际的管理组织架构、相关制度、工作机制和实施路径。尤其是要注重建立目标改进工作的调度和激励约束机制,充分调动相关管理人员和医务人员积极性。
需要注意的是,2020版评审标准第二章的数据来源为国家医疗质量管理与控制信息网、全国医院质量监测系统和各省级相关数据收集系统,意味着该条款不只是要看医院的改进措施,也要看改进的效果。
《2021年国家医疗质量安全改进目标》是国家卫健委首次从国家层面提出年度国家医疗质量安全改进目标,也是首次以目标的形式,提出了医疗质量安全改进的年度“规划”。 国家卫健委将根据2021年度目标改进工作实际和我国医疗质量安全年度监测情况,结合改革与发展工作重点,每年发布国家医疗质量安全改进目标。所以,各个医疗机构一定不能忽视国家医疗质量安全目标的实施,要按照路线图一步一步的落实,不断改进医疗质量。往期链接:
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21、感控专家聊评审-王广芬丨第14期:浅谈手卫生落实情况监管 - 等级评审与JCI认证 - 上海国际医院感染控制论坛 - Powered by Discuz! (sific.com.cn)
22、感控专家聊评审-刘滨丨第13期:如何提升ICU导管相关血流感染依从性?-等级评审与JCI认证-上海国际医院感染控制论坛 - Powered by Discuz!23、【感控专家聊评审-王广芬丨第12期:手卫生设施持续质量改进篇-等级评审与JCI认证-上海国际医院感染控制论坛 - Powered by Discuz! (sific.com.cn)



jcyyhlb 发表于 2022-7-16 09:16

学习了,谢谢老师的资料分享。

ZCT123 发表于 2022-7-16 09:53


学习了,谢谢老师的资料分享。

吃货团子 发表于 2022-7-16 11:02



学习了,谢谢老师的资料分享

tj15955416578 发表于 2022-7-17 18:54

请问各位老师,年度改进目标中治疗性应用抗菌药物前病原学送检情况监测及评价机制是如何制定的,谢谢!

兰兔 发表于 2022-7-18 16:00

不忽视国家医疗质量安全目标的实施,按照路线图一步一步的落实,不断改进医疗质量。

wuhongying001 发表于 2022-8-9 15:48

学习了,谢谢老师的资料分享。

wxzyygkk 发表于 2023-12-28 15:01

学习了,谢谢老师的资料分享!
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