Construction of foreign medical quality and safety management models based on qualitative text analysis
10.3760/cma.j.cn111325-20221130-01031
- VernacularTitle:基于质性文本分析的国外医疗质量与安全管理模式构建
- Author:
Lijun ZHUO
1
;
Siping DONG
;
Tingfang LIU
Author Information
1. 华中科技大学同济医学院医药卫生管理学院，武汉 430030
- Keywords:
Medical quality;
Patient safety;
Continuous quality improvement;
SPSO-Extension model;
Qualitative text analysis
- From:
Chinese Journal of Hospital Administration
2023;39(4):255-262
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically construct the foreign medical quality and safety management model by searching the English literature related to medical quality and safety management, so as to provide reference for improving the level of medical quality and safety management in China.Methods:The Web of Science database was used as the data source, the English literature related to medical quality and safety management in foreign countries was screened following the PRISMA guidelines, and the content of the screened literature was analyzed using qualitative text analysis based on the Structure Process System Outcome (SPSO) theoretical model.Results:In this study, a total of 37 articles were screened, 5 first-level themes of structure, process, system, outcome and continuous quality improvement were identified, 16 second-level themes were found, and their functional relationships were established. A theoretical model of the SPSO-Extension (SPSO-E) for medical quality and safety management was constructed, added new elements of the external environment, organizational outcome and employee outcome, and refined the continuous quality improvement into three segments of quality checking, problem handling and quality consolidation.Conclusions:In order to improve medical quality and safety management in China, the internal management model of the hospital should be dynamically adjusted according to the changes of external environment, and the result dimension should pay attention to the improvement of organization′s operational effectiveness and the physiological and psychological aspects of the staff. The final management results have a feedback effect on the hospital′s resource allocation, service delivery, organizational arrangements and cultural construction, promoting continuous improvement and enhancement of the hospital′s quality.
