摘要目的：探讨品管圈活动在降低主检报告内容差错率中的应用效果。方法成立品管圈，选定活动主题，拟定活动计划，分析主检报告内容差错的原因，进行目标设定，圈员共同拟定对策并按计划实施，选取活动期间共11738名受检者的体检报告进行差错统计，其中男性6892名，女性4846名，平均年龄为（38.01±11.31）岁，改善前5000份，改善中5120份，改善后1618份，比较改善前、中、后主检报告差错率，评价品管圈的活动成果并进行效果追踪。结果主检报告内容差错率由改善前17.80‰，下降到改善中7.23‰，改善后降至2.48‰，目标达标率达到141.9%，进步率为86.1%。效果追踪8个月，差错率于2016年8月升高至5.25‰，其余月份差错率皆维持在目标值3.40‰以下，成效良好。附加效益：主检室医师工作效率提高，平均每份报告出具时间由5 min缩短至4 min，人均每天约节约1h来检视报告的准确性及学习；形成“临床各科交流探讨模式”；建立报告发放后差错登记制度；心电图科室频繁出现的同类错误已被规避。结论品管圈活动能够有效降低主检报告内容差错率，保证优质、客观、准确的体检报告，不仅有助于提高团队工作效率与相互协作能力，还有利于医疗机构制度完善与错误的规避。

abstractsObjective To explore the effect of quality control circle (QCC) in reducing the health examination report errors. Methods QCC was founded, activity themes were selected, activity schedule was planned, the reasons of health examination report errors were analyzed, goal setting, countermeasures were planned and implemented jointly by circle members. Totally 11 738 reports of health checkup were selected and analyzed the errors were analyzed during the activity, 6 892 were male, 4 846 were female, their average age was(38.01 ± 11.31)years, 5 000 reports were made before improvement, 5 120 reports during improvement, 1 618 reports after improvement and compared the report error rates were compared. Evaluation of QCC activity results and tracking effect were evaluated. Results Error rate of health checkup report from 17.80‰ decreased to 7.23‰ during improvement, dropped to 2.48‰ after improvement. The rate of standard was 141.9%, progress rate was 86.1%. Tracking results for 8 months, error rate remained below the target value of 3.40‰although error rate roise to 5.25‰in August 2016, the effect was good. The additional benefit, working efficiency of the doctors was improved; Average time for each written report was reduced to 4 minutes from 5 minutes;Saved about 1 hours per person a day to review the accuracy of the report and learning; Formed“communication model between clinical departments”;Established the error registration system for the report has been distributed;Similar error of ECG department has been avoided. Conclusions Application of QCC not only reduced the error rate of the health checkup report, but also ensured quality, objective, and accurate physical examination report; activities not merely help to improve the work efficiency of physician, team's mutual cooperation, and is beneficial to optimize the system of medical institution and avoid the error.