On February 28, 2023, the Department of Medical Affairs issued the latest "Notice of the General Office of the National Health and Health Commission on Printing and Distributing the 2023 National Medical Quality and Safety Improvement Targets" (hereinafter referred to as the "Notice").

With the development of the industry and the advancement of work, the medical quality and safety situation will change to a certain extent every year. The "Notice" sets some exposed new problems and weak links as the focus of quality work.

Interpretation of "National Medical Quality and Safety Improvement Goals in 2023"

1. Why release goals on an annual basis？

Since 2021, our committee has released national medical quality and safety improvement goals and professional quality control work improvement goals for two consecutive years. Two years of practice has proved that clear goals can strengthen the sense of responsibility of relevant personnel, mobilize the enthusiasm of relevant personnel, unite people's hearts, form a joint force, and promote the rapid and orderly development of work, which is of great significance for improving the scientific and refined level of medical quality and safety management. Under the guidance of the goals, some weak links and outstanding problems in medical quality and safety have been significantly improved within one year, and related improvement work has entered a benign track. At the same time, we also found that with the development of the industry and the advancement of work, the quality and safety of medical care will change to a certain extent every year, and some new problems and weak links will be exposed, which will become the focus of quality work. In order to guide the industry to carry out precise improvement work, on the basis of ensuring the continuity of the work, it is necessary to update the goals in a timely manner on an annual basis to ensure the scientificity, timeliness and feasibility of the goals, and use this as an entry point to carry out system improvement work to promote the overall medical quality Increased safety level.

2. What is the difference between the 2023 target and the 2022 target？

The 2023 goal is the inheritance and development of previous goals, and is an important measure to further promote goal orientation. In order to ensure the continuity of the work, 8 of the 2023 national medical quality and safety improvement goals are derived from the 2022 goals. The relevant goals are goals that have a major impact on medical quality and safety, are highly concerned by the industry, and have room for further improvement. The industry needs to persist Unremittingly promote related work. On this basis, according to the outstanding weak links found in the previous monitoring, two new national medical quality and safety improvement goals of "reducing the perioperative mortality rate of hospitalized patients" and "improving the completion rate of preoperative multidisciplinary discussion for level 4 surgery" were added. Guide the industry to carry out targeted improvement work. In addition, the transferred 2 objectives will continue to be promoted as the improvement objectives of the professional quality control work to ensure the continuity of related work.

3. How to promote the achievement of annual goals？

The realization of the goal requires the close cooperation and joint promotion of health administrative departments, medical institutions, quality control organizations and industry associations. The health administrative departments at all levels should make the achievement of the goals an annual priority, and guide all levels and types of medical institutions and quality control organizations within their jurisdictions to carry out improvement work. Medical institutions at all levels and types assume the main responsibility for the improvement of annual goals. They must actively innovate working mechanisms and methods, promote multi-departmental and multi-disciplinary collaborative work within the institution, and formulate a management organization structure that is in line with the actual situation of the institution in accordance with the core strategies of each goal. Relevant systems, working mechanisms and implementation paths, establish an incentive and restraint mechanism, fully mobilize the enthusiasm of relevant management personnel and medical personnel, and improve the overall medical quality and safety level. Each professional quality control center and quality control organization should take the improvement goals of the professional quality control work as the annual core work, refine relevant improvement strategies, strengthen publicity and training, provide technical support, and implement safeguard measures. Relevant industry organizations should make use of their own advantages, actively carry out research and exchanges around the goals, jointly build a medical quality and safety management pattern led by the government, industry self-discipline, institutional autonomy, and multi-party participation, and cultivate a medical quality and safety industry concept that all employees pay attention to and participate in and culture.

*2023 national Medical Quality and Safety Improvement Goals

*2023 Quality Control Work Improvement Goals for Each Profession