目的 构建住院医师规范化培训质量控制信息管理系统,探讨其应用效果,以期提高住院医师规范化培训质量。方法 通过鱼骨图和利益相关者分析,寻找影响住院医师规范化培训质量的因素,在此基础上构建信息管理系统,包括8大管理功能模块,实现了与医院其他信息系统的对接。系统使用1年后对100位住院医师、30位教学秘书和7位住院医师培训管理人员进行问卷调查,以了解系统的应用效果。结果 94.2% （129/137）的被调查者认为有必要建设信息管理系统,对该系统的总体满意度达89.8% （123/137）;97.1% （133/137）的被调查者认为该系统操作适宜。4项基本管理工作耗时大幅度减少,评教完成及时性由30.0% （54/180）提高到100.0% （180/180）, 评语重合度由45.6% (82/180)降至0%(0/180)。登录方式灵活、节约成本、提高效率、清晰流程为该系统的主要优势。结论 信息管理系统对住院医师规范化培训的质量控制和提升具有积极的作用。
Objective Implement the construction of the information management system for quality control in the residency standardized training, and discuss the application effect of the system, in order to improve the quality of the training. Methods Search for the factors affecting the quality of the residency standardized training by the Fishbone Diagram and the Stakeholder Analysis, and according to the factors construct the information management system which not only contains eight management function modules, but also is connected with other hospital information systems. To understand the application effect of the system, 100 residents, 30 teaching secretaries and 7 managerial staff of the training were asked to finish a questionnaire survey a year later. Results The user questionnaires show that 94.2% (129/137) of the survey respondents holds the necessity of the construction of the system, and the overall satisfaction reaches 89.8% (123/137), and the system operation suitability is 97.1% (133/137). The working loads in the four basic management tasks are significantly decreased, and the promptness rate of the teaching evaluation increases from 30.0% (54/180) to 100% (180/180), and the contact ratio of the comments reduces from 45.6% (82/180) to 0% (0/180). The flexible way of login, cost savings, efficiency improvement, clear process are considered as the main advantages of the system. Conclusions The information management system plays a positive role in controlling and promoting the quality of the residency standardized training.
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