质量改进方案在喀尔省基层卫生保健中心样本中的应用评价

A. A. Al-Sarray, Ameer k. Resun AL-Awadii
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引用次数: 1

摘要

根据收集到的数据发现,行政单位的质量评价率为87.7%,其主要薄弱指标为反馈和记录、行政指南、行政培训、感染控制指南、酒精、废物推车、废物余额和部分记录的日志文件。83.1%的医疗单位评价主要薄弱环节为医务服务人员数量、妇科检查室数量、候诊时间;89.5%的药学单位评价主要薄弱环节为药师人数、药箱与墙的间隔面积、烟雾探测器数量、推轮数量、药箱与墙的间隔面积、药箱与墙的间隔面积、药箱与墙的间隔面积。结核病项目在结核病健康促进文件夹中的得分较低,仅为92.1%,其次是中途退出治疗的患者。大部分中心免疫接种覆盖率均存在不足,但免疫接种单位在维生素A、疫苗储存、免疫接种队伍培训、档案、感染控制设备配备方面得分较好,占81.1%。评价率最低的产妇单位为74.6%,主要原因是女医务人员、按标准单位、家访、声纳存在、第一次和第4次产妇访视覆盖率较低;健康促进单位为91.6%,社区参与、大厅得分较低。而IMNCH单位的平均比例为88.4%,最弱的指标是医务人员人数、ARI设备项目是否充足、温度计。持续培训和心理健康服务分别占82.6%和95.8%,实验室单位评价率为76.6%,最薄弱的指标为结构人员、摇床、天平、酒精灯、分配器、校准、KLB、G、AFB和水浴。本研究卫生访问计划的主要薄弱指标为内部网络、运输车辆、卫生访问地图和包、更新房号,因此该计划的薄弱指标为84.4%。酒店服务的薄弱指标为患者的权利和义务清单,残疾人专用厕所,酒精,花园清洁度,因此酒店服务占80.3%。牙科服务单位占83.6%,其薄弱指标为牙医数量,牙科器械,XR牙科器械,加工设备,碎片清除设备,光学填充材料,牙医激活,dykal,汞合金,急救服务单位的评分为83.7%,而在急救服务方面得分较低的是医务人员、洗衣和服务人员。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Application of Quality Improvement Program Among a Samples of Primary Health Care Centers In Thi-qar Governorate
According to collected data finding the Quality evaluating percentage for administrative units 87.7% & it's  main weak indicators were for feedback & it is records , administrative guideline , administrative training , infection control guideline , alcohol , waste's cart ,waste's balance & log documentation of some record . 83.1%  evaluating percent for medical units and main weakness points were in numbers of medical &serving staff , gynecological examination room ,waiting & examination time .Pharmacy unit had 89.5% ,main weak indicators were in number of pharmacist ,separated area between boxes of drugs and walls , smoke detector , number of trundle , doses & rout of drugs on recipe .Tuberculosis program had 92.1% and weak score only in health promotion folder for tuberculosis disease ,following of dropout patient from therapy. There are weakness in all immunization coverage in most centers but Vitamin A , storage of vaccine , training of immunization team , presence of records , infection control equipments had good score in immunization units which had 81.1%. Maternal units had lowest evaluating percentage was 74.6 % because there are weak indicators in female medical staff , units according to standard , home visit , presence of  sonar ,1st & 4th maternal visit coverage .Health promotion unit had 91.6% ,there are weak score for community participation , halls. While IMNCH units had 88.4% average percentage and most weak indicators were for number of medical staff , adequate place for ARI equipments program ,Thermometer. The continuous training & psychological health services had 82.6% , 95.8% respectively .Laboratory units evaluating percentage was 76.6% & most weak indicators were in structure staff , shaker , balance , spirit lamp , dispenser , calibration, KLB , G , AFB & water bath .In this study the main weak indicators regarding health visitor program in internal net work , transport vehicle , health visitor's maps & bags ,updating numbering of houses therefore this program had 84.4%. Weak indicators regarding hotel services were in rights & duties list of patient , Rumba & special toilets for handicapped patients ,alcohol , cleanliness of gardens therefore the hotel services had 80.3% .Dental services units had 83.6% ,itis weakness score were in  number of dentist , dental devices , XR dental devices , processing devices , debris removal devices , optical filler material , activation of dentists , dykal , amalgam , temporary filler material ,XR films & batting root .Emergency services units had 83.7% evaluating percent  .While most weak scores regarding emergency services were for medical staff , laundry & serving staff .
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