优化门诊流程在超声报告质量改进方面的应用

目的探索优化门诊流程在改进超声报告质量方面的应用效果。 方法2017年1月至2019年6月，依托北京协和医院科室信息化平台，通过超声图像存储和传输系统升级，设立门诊督导岗位，并形成一体化转会诊体系，搭建高清数字化远程示教会诊系统。统计流程优化后超声医学科科室报告质量改进情况，采用t检验比较门诊流程优化前后（2016年下半年和2019年下半年）科室临床满意度的变化。 结果通过门诊流程优化，99%以上的患者可在就诊单元获取高质量报告。2018年至2019年共6683位门诊患者通过转会诊体系获得高水平超声报告。仅2019年科室完成125例疑难罕见病例的远程会诊。2019年下半年患者临床满意度评价得分［（96.71±0.21）分］显著高于2016年下半年［（93.68±0.30）分］，差异具有统计学意义（t=32.132，P＜0.001）。 结论实施门诊流程优化，实现了超声诊断水平和医疗服务效率、患者及临床满意度等全面提升，能有效提高超声医学科医疗报告质量。

Effect of outpatient management flow optimization in improvement of ultrasound report quality

ObjectiveTo explore the effect of outpatient management flow optimization in the improvement of ultrasound report quality. MethodsFrom January 2017 to June 2019, some changes relying on information platforms were made to improve ultrasound reports in Department of Ultrasound, Peking Union Medical College Hospital, including upgrading of ultrasonic image storage and transmission system, introducing clinical supervision, forming an integrated referral system, and building a high resolution medical image remote display system. The improvement of department report quality after process optimization was analyzed. Before and after the optimization (second half of 2016 and second half of 2019), clinical satisfaction was evaluated by t test. ResultsAfter the process optimization, more than 99% of the patients could get high-quality reports in their outpatient units. In 2018 and 2019, 6683 outpatients got more valuable reports through the referral system. One hundred and twenty-five patients with rare and challenging diseases had a distant consultant in 2019. According to the data of the second half year of 2016 and 2019, after optimizing outpatient management flow, the clinical satisfaction score was 96.71±0.21, which was significantly higher than that before (93.68±0.30, t=32.132, P＜0.001). ConclusionProcess optimization can achieve the comprehensive improvement of the quality and efficiency of ultrasound medical services, clinical and patients' satisfaction, and so on.