卫生技术和卫生技术评估概述.ppt

* * * * * * * * * * * * * * * * QCCRM in Shanghai Launch of QCCRM in Shanghai, March 23, 2004 Main Work In 2004 QCCRM has investigated all the necessary data (including facilities and human resources) at 58 departments of Respiratory Medicine in Shanghai. QCCRM has developed simple guidelines for COPD, ARDS according to the related guidelines . Main Work In 2005 QCCRM had supervised the quality of facilities and human resources for all the Departments of Respiratory Medicine in Shanghai. QCCRM had developed simple guidelines for mechanical ventilation, nebulizing therapy and antibiotic therapy according to the related guidelines. How to perform Quality Control for Respiratory Medicine? Set up scoring criteria Regularly Convened Steering Committee is responsible for supervision scoring criteria and considering related guidelines. Get approval from the joint meeting by Regularly Convened Steering Committee Advisory Committee. Rehearsal of Supervising Committee 42 censors of Supervising Committee were trained before supervision according the scoring criteria . In order to standardize the scoring criteria and guarantee the justness, QCCRM supervised 2 hospitals in advance as rehearsal . Example of the first supervision Rules and regulations the records of professional education, malpractice, death discussion, intractable case discussion shifting of duty Case history and discharge abstract the medical records in out-patient clinic the diagnosis background the discharge abstracts Three-grade clinical rounds The records of discussion and solution Example of the first supervision Applying medical techniques the common techniques Emergency and monitoring: the emergency apparatus Respiratory Care Unit. Examination on site theory X-ray reading Human resources Hospital classification Excellent Score 90 Fine Score 80 Middling Score 70 Passed Score 60 under qualified Score60 Class III 9 10 1 0 0 Class IIA 4 21 10 1 2 Total 13（22.4％） 31（53.4％