在超声医学专业质量管理控制指标专家共识指导下的安徽省超声医学质量控制现状

目的总结在超声医学专业质量管理控制指标专家共识指导下安徽省超声医学质量控制取得的成效和发现的问题。 方法2020—2021年安徽省超声医学质量控制中心分别下发超声医学质量控制调查表,调查对象为安徽省内二级及三级医院的超声科,对照《超声医学专业质量管理控制指标专家共识（2018年版）》中提到的7个超声质量控制关键指标,结合《安徽省超声医学质量控制中心医疗质量控制标准》进行对比分析。 结果二级医院2020年和2021年平均每日超声检查人次分别为189.5人次、206.9人次;三级医院2020年和2021年平均每日超声检查人次分别为425.5人次、516.2人次,均有所提升;二级医院2020年和2021年超声科医患比分别为1.51人/万人次、1.44人/万人次;三级医院2020年和2021年超声科医患比分别为1.49人/万人次、1.36人/万人次,均有所下降;2021年超声科医师数与超声诊断仪器数比二级和三级医院分别为0.89和1.40,较2020年的0.99和1.50变化不大;平均住院超声检查预约时间有所延长、危急值通报例数略有变化,二级医院通报率有所降低（94.12% vs 95.55%）;2020—2021年二级医院和三级医院超声报告阳性率分别为62.42%、62.13%;72.66%、79.53%;二级医院超声报告阳性率有所下降;超声诊断符合率分别为79.68%、81.66%;85.06%、88.24%,均呈上升趋势。 结论在超声医学专业质量管理控制指标专家共识指导下,通过专业规范的培训指导和质量控制管理,超声诊断效率与诊断质量有所提高,而在指标监测机制方面还需进一步完善。

Current status of ultrasonic medical quality control in Anhui Province under guidance of expert consensus on quality management and control indicators of ultrasound medicine

ObjectiveTo summarize the achievements and problems found in the quality control of ultrasound medicine in Anhui Province under the guidance of expert consensus on the quality management and control indicators of ultrasound medicine. MethodsFrom 2020 to 2021, Anhui Medical Ultrasound Medical Quality Control Center issued a medical ultrasound medical quality control questionnaire. The survey objects were ultrasound departments in secondary and tertiary hospitals in Anhui Province. The seven key indicators of ultrasound quality control mentioned in the expert consensus on the quality management and control indicators of ultrasound medicine (2018 edition) were compared and analyzed in combination with the "Medical Quality Control Standards of Anhui Ultrasound Medical Quality Control Center". ResultsThe average number of daily ultrasound examinations in secondary hospitals in 2020 and 2021 was 189.5 and 206.9, respectively; the corresponding figures in tertiary hospitals were 425.5 and 516.2, both of which have increased. In 2020 and 2021, the doctor-patient ratios of ultrasound departments in secondary hospitals were 1.51 and 1.44 people/10000 people-times; the corresponding figures in tertiary hospitals were 1.49 and 1.36 people/10000 people-times. In 2021, the numbers of sonographers and ultrasonic diagnostic instruments were 0.89 and 1.40 in secondary and tertiary hospitals, respectively, which were not much changed from those in 2020 (0.99 and 1.50). The average inpatient ultrasound examination appointment time had been extended. The number of reported cases of critical value changed slightly, and the notification rate in secondary hospitals decreased (94.12% in 2021 vs 95.55% in 2020). The positive rates of ultrasound reports in secondary and tertiary hospitals from 2020 to 2021 were 62.42% and 62.13%, and 72.66% and 79.53%, respectively; the ultrasound positive rate in secondary hospitals decreased. The ultrasound diagnosis coincidence rates in secondary and tertiary hospitals in 2020 and 2021 were 79.68% and 81.66%, and 85.06% and 88.24%, respectively, showing an upward trend. ConclusionUnder the guidance of experts on the quality management and control indicators of ultrasound medicine, professional and standardized training guidance and quality control management can play a positive role in improving efficiency and diagnostic quality. The monitoring mechanism of indicators needs to be further improved.