Comprehensive evaluation of the medical quality of surgical departments based on indicators of DRGs
10.3969/j.issn.1671-332X.2024.12.021
- VernacularTitle:基于DRGs指标综合评价手术科室医疗质量
- Author:
Bingyan CAO
1
;
Zhengsheng FANG
1
;
Gang LIU
1
;
Lei NING
1
;
Xinyuan TANG
1
Author Information
1. 山东第一医科大学第二附属医院 山东泰安 271000
- Publication Type:Journal Article
- Keywords:
DRGs;
Surgical department;
Medical quality;
Non-integer-rank WRSR
- From:
Modern Hospital
2024;24(12):1887-1890,1894
- CountryChina
- Language:Chinese
-
Abstract:
Objective To find out the advantages and disadvantages of medical quality and provide a scientific basis for more scientific and fine medical quality management by comprehensively evaluating the medical quality of surgical departments of 3 Grade class A hospital.Methods Through literature research and expert consulting,combined with the actual conditions of the hospital,the evaluation indicators were determined.Weights were objectively assigned to the evaluation indicators with the entropy weight method and the surgical medical quality was comprehensively evaluated with non-integer rank WRSR.Results Seen from medical service capacity,the entropy weights of RW ≥2 and Level-4 surgery are relatively big;seen from the efficiency of medical service,the entropy weights of the time consumption index and cost consumption index are relatively big;seen from the safety of medical services,the entropy weight of postoperative death in the perioperative period is the biggest.The results of grad-ing of medical quality evaluation of surgical departments indicated that joint surgery,spinal surgery,neurosurgery,and thoracic surgery were"good"departments;15 departments,such as obstetrics,traumatic orthopedics,ENT,and gynecology,were"gen-eral"departments;and cardiac surgery and stomatology were"poor"departments.Conclusion The medical quality of surgical departments was comprehensively evaluated with non-integer rank WRSR.The evaluation results were consistent with the actual conditions of the hospital.Surgical departments should take targeted measures and make rectifications according to the results of the evaluation;and the hospital should reasonably allocate medical resources and make related policies with evaluation results combined with the needs of the development of departments.
