摘要: |
目的:通过内部质量体系审核达到自我监督、自我改进的作用。方法:策划内审计划,做好内审员培训,编写检查表,采用查阅资料、交流沟通、现场审核的方式进行,对不合格项制定纠正和预防措施,并跟踪与验证,在规定时限内给予关闭。结果:经过内部质量体系的审核,患者的满意度由原来的89%上升到95%,各项质量目标达标,质量体系得到不断的持续改进。结论:内审员的综合实力与切实可行的内审检查表是保证内审顺利进行的重要基础,合理把握审核过程,对内审发现不合格项采取有力纠正措施,是持续改进质量的保证。 |
关键词: ISO9001 医院 内部质量体系 审核 |
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Application and Experience of ISO9001 Internal Quality System Audit in Hospital |
Guo Lingjuan |
(Quality Management Department of Liyang Traditional Chinese Medicine Hospital) |
Abstract: |
Objective:An internal quality system audit is carried out to achieve self-supervision and self-improvement in our hospital. Methods:We draw up our plan of audit,train our internal auditors and finally compiled audit schedules. In the whole process,we gain access to sources of information,communicate with relevant people and audit on the spot. As for those unqualified projects,we will put right and set up precautions. A follow-up and further verification will be in place,and closing down certain projects for the time being is necessary. Results: It turns out that patients’ satisfaction has gone up considerably,from 89% to 95%. The quality of all projects involved has met the standards through the continuous improvement of the quality system. Conclusion: The establishment of a well-trained team of internal auditors and realistic audit schedules lays a solid foundation for a smooth progress of internal quality audit. An appropriate control over the audit process and effective corrective action in the case of poor-quality projects is a guarantee for sustainable development of quality. |
Key words: ISO 9001 Hospital Internal Quality System Audit |