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以内部审核促进医院质量管理持续改进
引用本文:崔颖,张进生,冯江.以内部审核促进医院质量管理持续改进[J].中国医院管理,2011,31(1):30-33.
作者姓名:崔颖  张进生  冯江
作者单位:首都医科大学附属复兴医院,北京,100038
摘    要:目的分析医院质量管理体系运行情况,促进医院质量管理持续改进。方法通过内部审核,发现不合格项并对其进行统计分析,找出影响医院质量管理的主要问题,采取相应的改进措施。结果2003--2008年医院共组织内部审核7次,发现不合格项118项,通过采取纠正措施和预防措施,并制定医院质量管理工作重点,不合格项目逐年减少。结论医院质量管理体系的运行符合IS09001标准的要求,是适宜的、有效的:内部审核促进了医院质量管理持续改进。

关 键 词:ISO9001  内部审核  质量管理  不合格项

Improving the Quality Management in Hospital Continuously through Internal Audit
CUI Ying,ZHANG Jinsheng,FENG Jiang.Improving the Quality Management in Hospital Continuously through Internal Audit[J].Chinese Hospital Management,2011,31(1):30-33.
Authors:CUI Ying  ZHANG Jinsheng  FENG Jiang
Institution:Fuxing Hospital, Capital University of Medical Sciences, Beijing, 100038, China
Abstract:Objective To analyze the operation of the quality management system in hospital to improve the quality management in hospital continuously. Methods Carrying out internal audit, finding and analyzing statistics of the nonconformity items, identifying the main issues that influencing the quality management in hospital, and taking corresponding improvement measures. Results There were 7 internal audits carried out from 2003 to 2008, and 118 nonconformity items were found. The number of the nonconformity items was decreasing through taking corrective action and preventive action, and identifying the focus in hospital management. Conclusion The operation of the quality management system in hospital is appropriate and effective, being in line with ISO9001 standards. The quality management in hospital is improved continuously through internal audit.
Keywords:ISO9001
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