Application and practice of objective management and key performance index method in physical examination quality management / 中华健康管理学杂志

ABSTRACT

Objective:To explore the effect of applying management by objective (MBO) and key performance indicator (KPI) method in the quality management of physical examination.Methods:The MBO and KPI methods were used to determine the focus of annual physical examination quality control, and to set 9 key physical examination quality control indicators and assessment standards. The results of physical examination quality control in the first quarter of 2018 were selected as the control group, and those in the fourth quarter of 2018 as the observation group. The two groups were compared using the chi-square test or Fisher′s exact test, after which the application effects of MBO and KPI method were discussed.Results:The scores of physical examination quality control in the observation group were higher than those in the control group; however, the difference was not statistically significant. The key indicators of physical examination quality control in the observation group all showed improvement to different degrees when compared with the control group. Among these indicators, the qualified rate of staff hand hygiene compliance, the qualified rate of cardiopulmonary resuscitation operation, and the coincidence rate of major abnormal results of physical examination were increased, but the difference was not statistically significant (95.0% vs 87.5%, P=0.432; 97.5% vs 92.5%, P=0.615; 55.6% vs 51.0%, P=0.232, respectively). Results error rate of physical examination department, completion rate of physical examination quality control documents, client satisfaction, follow-up success rate of major abnormal results of physical examination, and qualified rate of physical examination report were all significantly improved, with statistical significance (1.2% vs 2.2%, P<0.001; 100.0% vs 85.0%, P=0.026; 98.7% vs 96.8%, P<0.001; 68.6% vs 62.6%, P=0.014; 96.2% vs 90.6%, P<0.001, respectively). Conclusion:The application of MBO and KPI methods in the physical examination quality management of physical examination institutions can effectively improve the quality of physical examination.