從品質推動策略日常化累積品質改善能量

Abstract

本院是公立醫院肩負著提升醫療品質的責任與使命，透過設計良好的品質策略及維持改善能力之品質系統，以達病人為中心的核心價值。本次醫中評鑑任務首次將「卓越之醫療品質與病人安全」納入評比，評鑑委員以客觀評價醫院提供醫療服務是否達到水準。本院準備過程透過日常化的品質推動策略，包含：系統驅動品質改善（病安通報、標準化、指標監測、專案改善）、辦理各項品質活動、完善的獎勵制度、邀請醫師參加各項品質活動、人才培育與單位輔導等。人員素質提升後，運用品管工具找到問題的真因並進行策略調整，改善成效良好鼓勵對外發表，透過同儕交流學習對同仁品質改善視野更寬闊，對於品質促進我們將持續努力，以創造卓越的品質文化並持續深耕。  Taoyuan General Hospital, Ministry of Health and Welfare, a public institution, bears the responsibility and mission of enhancing medical quality. By designing effective quality strategies and maintaining a robust quality system to improve capabilities, we aim to fulfill our core value of patient-centered care. The current Medical Center Hospital Evaluation incorporated the "Medical Quality and Patient Safety Excellence" category for the first time. The reviewers conducted an objective assessment to determine if the healthcare services provided met the required standards. During the preparation phase, Taoyuan General Hospital, Ministry of Health and Welfare implemented daily quality promotion strategies, including system-driven quality improvements (patient safety incident reporting, standardization, indicator monitoring, and project-based enhancements), organizing various quality- related activities, a comprehensive reward system, and inviting physicians to participate in quality events, talent cultivation, and departmental coaching. As personnel literacy enhanced, quality control tools were utilized to identify the root causes of problems and adjust strategies accordingly. The effective improvement in achievement should be presented externally. Through peer interactions, our staff’s perspectives on quality improvement broadened. We remain committed to promoting quality and will continue to strive to foster a culture of excellence and deepen our engagement in quality cultivation.