目的：分析某医院绩效考核评价体系管理问题并提出改进措施，以期提高管理效能，保证医疗质量和患者安全，推动公立医院高质量发展。方法：结合反馈意见和工作实践，使用鱼骨图归纳现有评价体系效用较低原因，探索分析医院2023年绩效考核评价体系改进情况。结果：存在医务人员参与不足、沟通追踪不到位、考核管理不充分问题。结论：基于PDCA理论执行改进，计划阶段明确员工职责定位、层次沟通机制、考核体系管理；实施阶段加强主体意识、强化组织沟通反馈、完善考核体系；检查阶段核验医院服务能力和患者保障能力；改进阶段加快信息系统建设和提高绩效文化认同。

Objective：Research on management issues and implementation path of performance evaluation system in a certain hospital order to improve management efficiency，ensure the quality and patient safety of hospitals，and promote the high-quality development of public hospitals. Methods：Combined with feedback and work practice，the reasons for the use of fish bone graphics to summarize the low effectiveness of the existing evaluation system will be used to explore the implementation of the implementation of the 2023 performance evaluation system. Results：There were problems with insufficient participation in medical staff，inadequate communication and tracking，and insufficient assessment management. Conclusion：Based on the implementation of the PDCA theory，the planning phase is clearly positioned at the planning stage，the layered communication mechanism，and the management of the assessment system；the implementation phase of the implementation is strengthened，the organization communication feedback is strengthened，and the assessment system is improved；Information system construction and improvement of performance culture identity.