In June 2012,the Ministry of Health issued the 2011 version of 3A cancer hospital accreditation standards. After rounds of discussion and revise,this standard was officially released in November 2012. Our hos-pital has started preparatory work since September,2012,after more than half a year's careful preparation,the re- inspection of 3A Cancer Hospital was carried out in April,2013. During the preparation,we've learned that ap-plying SPDCA to instruct the operation of top 3A Cancer Hospital is really practical and effective. This essay elabo-rated on SPDCA for other hospitals' reference.%2012年6月,原卫生部发布《三级肿瘤医院评审标准(2011年版)实施细则征求意见稿》.经过反复讨论修改,《三级肿瘤医院评审标准(2011年版)实施细则》终于在2012年11月正式出台.医院自2012年9月正式启动三甲复评工作,经过半年多的精心准备,于2013年4月顺利迎接三甲复评检查.在复评准备工作中,总结出以SPDCA循环指导三甲肿瘤医院复评工作的经验,收到较好的实际效果.文章对SPDCA循环进行详细说明,以供其他医院参考.
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