Department of Laboratory Medicine and Sichuan Provincial Key Laboratory for Human Disease Gene Study, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Research Unit for Blindness Prevention of Chinese Academy of Medical Sciences (2019RU026), Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu, Sichuan, China.
J Eval Clin Pract. 2024 Sep;30(6):1034-1038. doi: 10.1111/jep.14017. Epub 2024 May 22.
To innovatively use the FOCUS-PDCA quality improvement strategy to establish an external quality assessment (EQA) working group to continuously improve EQA performance, an important indicator of the national tertiary public hospital performance appraisal.
The project was carried out at the National Center for Clinical Laboratories. Using FOCUS-PDCA, which combines problem-focused steps (FOCUS) and improvement steps (PDCA), a project team was established to carry out improvement work. Root cause analysis was carried out to analyze the problems in quality control from EQA project application to results analysis and an improvement plan was implemented according to the steps of FOCUS-PDCA. The project was executed in three cycles from 2019 to 2021 to obtain more satisfactory results.
After implementing three cycles of FOCUS-PDCA, the EQA participation rate increased from 66.5% in 2018 to 100% in 2021, and the EQA pass rate increased from 94.9% in 2018 to 99.3% in 2021. Consequently, the hospital moved into the top 50 in performance assessment for the first time in 2020 and ranked 27th in 2021.
The use of the FOCUS-PDCA quality improvement strategy can improve the EQA performance of national tertiary public hospitals and help them achieve satisfactory results in the national examination.
创新性地使用 FOCUS-PDCA 质量改进策略，建立外部质量评估（EQA）工作组，持续改进 EQA 性能，这是国家三级公立医院绩效评估的重要指标。
该项目在国家临床检验中心开展。使用 FOCUS-PDCA，将问题聚焦步骤（FOCUS）和改进步骤（PDCA）相结合，成立项目团队开展改进工作。对从 EQ A 项目申请到结果分析的质量控制问题进行根本原因分析，并根据 FOCUS-PDCA 步骤制定改进计划。该项目于 2019 年至 2021 年分三个周期执行，以获得更满意的结果。
实施 FOCUS-PDCA 三个周期后，EQA 参与率从 2018 年的 66.5%提高到 2021 年的 100%，EQA 合格率从 2018 年的 94.9%提高到 2021 年的 99.3%。因此，该医院在 2020 年首次进入绩效评估前 50 名，2021 年排名第 27 位。
使用 FOCUS-PDCA 质量改进策略可以提高国家三级公立医院的 EQA 性能，帮助他们在国家考试中取得满意的成绩。
