Optimization and practice of hospital quality supervision and feedback system from the perspective of grade hospital evaluation / 中华医院管理杂志

Quality supervision is the important guarantee of hospital quality and patient safety, and also the core content of the fourth cycle grade hospital evaluation in Zhejiang province. Based on the evaluation standards, Hangzhou Women′s Hospital used information technology to optimize the hospital′s quality supervision and feedback system, and set up a traceable and closed-loop quality and safety supervision system. The system realized five function points: storage and extraction of supervision problems, online recording of supervision results, real-time feedback of supervision results, online feedback of rectification opinions of supervised departments, and tracking and evaluation of functional departments. After the operation of the system, the quality supervision process of the hospital realized information operation, and could be tracked online at all time points, which improved the efficiency of hospital quality management, better ensured the implementation of medical system and patient safety, and promoted the continuous improvement of medical quality indicators.

Status of China's hospital rankings and its impact on hospital discipline construction / 中华医学科研管理杂志

Objective Through combing and analyzing the existing hospital rankings in China,comparing the similarities,differences and problems of existing rankings,to improve the hospital's understanding of the ranking work,and provide reference for hospital discipline construction and development.Methods To comprehensively review and compare the major ranking of hospitals in China,such as "China's Hospital Rankings","China's Hospitals · Competitiveness Rankings","Ranking of the Best Clinical Subjects in China","China Hospitals' Science and Technology Evaluation Metrics" and "Beijing Medical Service and Key Specialist Evaluation",and to analyze from the angle of the background,characteristics,evaluation methods,evaluation dimension and so on.Results At present,the hospital rankings have their own characteristics,each with its own focus,but there is still poor accessibility of clinical data,and the evaluation index of patients' medical experience and educational work are not perfect.Conclusions The hospital ranking list is a third-party evaluation tool to promote the construction of hospital disciplines effectively.It is recommended that all relevant organizations or departments further improve the construction of the ranking system,build big data platforms for hospital evaluation,improve the data accessibility of clinical medical quality and safety indicators,build scientific and objective dynamic evaluation systems,and carry out multi-level,multi-dimensional and continuous hospital ranking work.

Application of ISO9001 Quality Management System combined with level 3 general hospital evalua-tion standard in nursing management / 中国实用护理杂志

Objective To observe the application effect of ISO9001 Quality Management System combined with level 3 general hospital evaluation standard (2011 version) in nursing management. Methods ISO9001 Quality Management System combined with nursing part of level 3 general hospital evaluation standard applied in nursing management; and data of nursing goals were collected before and after the implementation of nursing management system from 2011 to 2014. Results Nursing management system got more perfect, safety of blood transfusion, adverse event reports and so on were included. Both nursing quality target completion and satisfaction rate of hospitalized patients on nursing work increased year by year from 2011 to 2014. Satisfaction rate of doctors and nurses with high quality nursing service were both above 96%. Conclusions Nursing management system can promote can promote quality of nursing care, and provide comprehensive development guarantee to the whole hospital quality system, and offer reference for other hospital′s nursing management.

The Time Series Analysis of Standards and Results of Nutritional Domain in Hospital Evaluation Program

The purpose of this study was to evaluate the current state of foodservice and clinical nutrition management in a hospital-based nutrition department. Nutritional guidelines and survey reports of hospital evaluation programs from 2004 to 2009 were analyzed. In total, 275 hospitals in the first period and 288 hospitals in the second period were evaluated. The division of knife and chopping board use decreased from 97.2% in 2005 to 89.7% in 2008, the maintenance of a proper freezer temperature (below -18degrees C) increased from 82.1% in 2004 to 97.7% in 2007 (88.9% to 97.4% from large hospitals and 69.8% to 86.5% from small/medium hospitals in 2005 and 2008, respectively). In tube-feeding management, the performance rate of material cold storage and the offer rate of tube-feeding were 65.9% and 94.2% in 2007, respectively. The cold storage of material, proper use within 24 hours after opening or production, and the use of an appropriate label were 47.3%, 71.2% and 67.2% in 2009, respectively. The rate of a management system for undernourished patients was 86.0% in 2007 (56.4% for large hospitals, 18.9% for small/medium hospitals) and 14.3% in 2009. In standards of nutrition support management, the performance rates of constructing a nutrition support team, the nutrition support team activity, and organizing multidisciplinary team were 66.7%, 43.6%, and 64.1% respectively, in 2004. For large hospitals, those rates were 61.1%, 36.1%, and 58.3%, in 2005, 93.0%, 62.8%, and 91.9% in 2007, and 69.2%, 43.6%, and 69.2% in 2008, respectively. The results of this study suggest standards on sanitary foodservice preparation, production, and tube-feeding production need to correspond with HACCP regulations for small/meidium hospitals in standards of a healthcare accreditation system. It will be necessary to understand the operating conditions of nutrition departments in convalescent hospitals, psychiatric hospitals, and geriatrics hospitals. As the application of accreditation is required from 2013, standards will need to be improved and continuously updated for healthcare accreditation.

Understanding of the new Korea Healthcare Accreditation System

The Korean Healthcare Accreditation System began to be applied to most Korean hospitals this year, yet it remains unfamiliar to us. There has been much criticism regarding the Hospital Evaluation Program that began in 2004 because of its formalities and its perceived ineffectiveness in improving the healthcare environment. Because of these issues, the new healthcare accreditation system was adopted to continuously improve the quality of the healthcare fields. Many countries, including the United States, are employing accreditation systems and have developed their systems with consideration for their own cultural backgrounds and medical environments. Unlike the evaluation program, which ranks hospitals, the new accreditation system tries to see the root of every behavior rather than focusing on formalities like the size of and facilities available at hospitals. The appraiser's ability to correctly judge is very important. For the hospitals, understanding the significance of accreditation, which follows quality improvement, is most important. Besides, the accreditation system is a volunteer system, which is unfamiliar to us (we are used to a passive evaluation system) and can cause confusion. It also has a risk of falling into disuse like the past evaluation system if we try to obtain quick results from the new system. Ample time is needed to make adjustments through trial and error, and for medical professionals to discover how to properly use the new accreditation system. It is important to consider its meaning and principles first.

Propuesta de un nuevo indicador para calificar la capacidad de publicación en hospitales docentes / Proposal of a new indicator to qualify the publication capacity of teaching hospitals

Las publicaciones cient[ificas son un reflejo de la marcha de un departamento hospitalario. Nuestros hospitales se caracterizan por producir pocos trabajos para las revistas médicas y la web. Presentamos aquí metodologías foráneas para evaluar esas instituciones y se razona sobre lo difícil de obtener resultados precisos. Proponemos un indicador empírico llamado Indice de Publicaciones que anunciaría la capacidad productiva de los departamentos en ese campo. Faltan referencias venezolanas para enriquecer este aspecto de la pesquisa de buenos hospitales en nuestro país

Scientific papers are the mirror of hospital departments performance. Our hospital produce few papers for journals and the web. We present foreign methods to evaluate hospital, taking into account the difficulties to obtain occurate results. Here, we suggest an empirical indicator called “Index of Publications” which should show the publication capacity of medical departments. Venezuelan references are needed to enrich the screening of good hospitals in our country

Discussions of the hospital evaluation pattern in the "Peri-evaluation" theory / 中华医院管理杂志

The "Peri-evaluation" hospital evaluation theory comes into being based on a review of the traditional hospital evaluation patterns in China, and the reference of advanced international experiences of hospital evaluation. This theory is already applied to the evaluation and care quality supervision of hospitals in Hainan, On such basis, a "third-party" hospital evaluation management mechanism and "Peri-evaluation" hospital evaluation pattern have been worked out Such mechanism and pattern will prove inspirational for the pending hospital evaluation in China.

Pending problems and their solutions for hospital evaluation / 中华医院管理杂志

The work of hospital management and evaluation began in 1991 in Shangtung.Up till 1995,the first phase has basically ended.From the three years of hospital evaluation,we find the prob- lems of superficial understanding of evaluation rules,hasty preparation of materials,etc.To solve the- seproblems,relevant documents must be well studied and hurried work avoided.Key points must be grasped with the guiding principle kept in mind.Defunct ideas must be scrapped with new ideas put into practice.A scientific evaluation is to render the evaluation conclusions authoritative and viable.Super- vision must be tightened.The point for evaluation is quality to.solve the problems of quality control and the monitoring of case history and illness specification.

Methodologies for evaluating hospital quality in America / 中华医院管理杂志

The paper gives an account of the four systems that are currently used for evaluating hospital quality in America, viz. America's Best Hospitals, Solucient 100 Top Hospitals, International Quality Indicator Project, and the Joint Commission on Accreditation of Healthcare Organizations. The "America's Best Hospitals" methodology takes into account three factors, infrastructure, process and outcome. Hospitals are first ranked in specialties, then the index of hospital quality is calculated by means of weighted indexes, and after that the best hospitals are selected according to the specialty rankings and the number of the hospitals. The "Solucient 100 Top Hospitals" methodology selects 100 top hospitals among hospitals of the same size on the basis of hospital quality and safety indexes. The evaluation indexes include eight items, such as index of risk-adjusted mortality rates, index of complications, and disease severity-adjusted average length of hospital stay. The methodologies of "International Quality Indicator Project" and "the Joint Commission on Accreditation of Healthcare Organizations" are used in many countries to evaluate clinical efficiency and enjoy high reputation in monitoring and promoting medical quality.

Experience in being the first pilot unit for the second-cycle hospital evaluation and suggestions / 中华医院管理杂志

The hospital the authom work with, the first one to undergo the second-cycle nation-wide hospital evaluation, was assessed by a third party and the hospital evaluation experts. The two cycles of hospital evaluation were entirely different in historical background, priorities and procedures. The evaluation standards for the second cycle, which were on a par with internafional ones, set the right track of development for medical institutions, emphasizing quality, security, service and performance and highlighting the delivery of quality patient care. The gains from the second-cycle hospital evaluation can be summarized as follows: more highly emphasized continuous improvement of service quality, enhanced awareness of people-oriented management, reinforced medical quality and medical security control, heightened hospital infection control, greater capability of responding to emergencies, and strengthened for-malation of hospital rules and regulations. In the end five suggestions are put forward with regard to the second-cycle hospital evaluation.