摘要目的:基于我国医疗质量与安全管理模式的现状，构建我国医疗质量与安全管理理论模型，为持续改进医疗质量与安全管理提供参考。方法:以中国学术期刊全文数据库作为主要数据来源，以高被引指数H＝38作为判定标准，选取与我国医疗质量与安全管理的核心文献。基于结构-过程-结果(SPO)模型，采用Nvivo质性分析软件对纳入文献进行编码与分析，梳理我国医疗质量与安全管理的相关要素并明确要素间的逻辑关系，形成我国医疗质量与安全管理广义SPO模型。结果:本研究通过系统总结和梳理相关文献，提出了医疗质量与安全管理广义SPO模型，包括5个结构要素(组织架构、人员管理、资源管理、信息化、管理标准)、2个过程要素(管理方法、服务流程)和3个结果要素(患者结果、员工结果、组织结果)，并构建了三大要素之间及其内部的逻辑关系。结论:为提升我国医疗质量与安全管理水平，结构维度方面应聚焦明确质量管理主体职责，成立独立完善的质量控制部门，加强信息化的投入与建设，并促进医疗质量管理标准的落地实施；过程维度聚焦推进质量管理工具的合理应用；结果维度聚焦于强化患者安全管理，以及提升患者与医务人员的满意度。

abstractsObjective:To construct a theoretical model of medical quality and safety management based on the current situation of medical quality and safety management mode in China, providing reference for continuous improvement of medical quality and safety management.Methods:The CNKI database was used as the data source to search literature, with a high citation index H=38 as the judgment standard, the core literature related to the quality and safety management in China was selected. Based on the structure-process-outcome (SPO) model, Nvivo qualitative analysis software was used to code and analyze the included literature, sort out the relevant elements of China′s medical quality and safety management, and clarify the logical relationship between the elements, forming a generalized SPO model of China′s medical quality and safety management.Results:Through a systematic summary and review of relevant literature, a generalized SPO model for medical quality and safety management was proposed, including 5 structural elements (organizational structure, personnel management, resource management, informatization, management standards), 2 process elements (management methods, service processes), and 3 outcome elements (patient outcomes, employee outcomes, organizational results). The logical relationships between and within the three major elements were constructed.Conclusions:To improve the level of medical quality and safety management in China, the structural dimension should be focused on clarifying the responsibilities of the main body of quality management, establishing an independent and perfect quality control department, strengthening the investment and construction of information technology, and promoting the implementation of the medical quality management standard; the process dimension should be focused on promoting the rational application of quality management tools; and the outcome dimension should be focused on strengthening the management of patient safety and improving the individual satisfaction.