The study firstly analyzed the current situation of quality structure in three - level comprehensive hospitals and summarized experiences in the construction of quality structure in hospitals based on JCI standard system, ISO9000, six-sigma management model, Performance Excellence Model, Quality Control Circle, and so on. Secondly, it put forward a continuous quality improvement oriented organization design of quality management according to different quality activities. Finally, it described the structural framework of the organization design: Control - oriented quality activities mainly relied on existing three -level control system but must strengthen the function of senior leadership, quality department and quality management in clinical, administration and medical technology sections. Meanwhile, creative - oriented quality activities depended on the building and operation of cross - function teams to implement the goal of continuous quality improvement.%针对浙江省三级综合性医院质量管理组织设置现状,结合JCI、六西格玛、ISO9000、卓越绩效模式、Qc小组等质量管理组织建设经验,根据医院质量管理活动的不同特性,提出了基于持续改进的质量管理组织设计模型.指出:控制型质量活动依托常规的三级质控体系,从高层领导、质量专职部门、科室层面的质量管理3方面,强化了原有质量组织的职能与作用；创造型质量活动则借助跨职能团队的运作,到达持续质量改进的目的.
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