目的 探讨PDCA 循环管理结合人性化心理干预在提高门诊诊室一医一患落实率中的应用效果.方法 以2018年10月一医一患落实率作为实施前数据,采用鱼骨图对一医一患未落实情况进行原因分析,并实施PDCA 循环管理结合人性化心理干预进行改进,以2020年1月一医一患落实率作为实施后数据,比较实施前后一医一患落实率.结果 一医一患未落实原因主要包括设施因素、人员因素、制度因素及流程因素,实施 PDCA 循环管理结合人性化心理干预后,一医一患落实率达85.89％,明显高于实施前60.23％,差异具有统计学意义(P ＜ 0.05).结论 门诊诊室一医一患的落实与设施、人员、管理及流程等因素有关,实施PDCA 循环管理结合人性化心理干预有助于提高门诊诊室一医一患落实率,提高门诊分诊质量.“,”Objective To explore the application effect of PDCA cycle management combined with humanized psychological intervention in improving the implementation rate of one doctor and one patient in outpatient clinics. Methods Taking the implementation rate of one doctor and one patient in October2018 as the pre-implementation data, the fishbone diagram was used to analyze the reasons for the non-implementation of one doctor and one patient, and the PDCA cycle management combined with humanized psychological intervention was implemented to improve it. The implementation rate of one doctor, one patient in January was taken as the post-implementation data, and the implementation rate of one doctor, one patient before and after the implementation was compared. Results The reasons for the failure to implement one doctor and one patient mainly include facility factors, personnel factors, system factors and process factors. After the implementation of PDCA cycle management combined with humanized psychological intervention, the implementation rate of one doctor and one patient reached 85.89％, which was significantly higher than 60.0 before implementation., the difference is statistically significant (P＜0.05). Conclusion The implementation of one doctor, one patient in the outpatient clinic is related to factors such as facilities, personnel, management and processes. The implementation of PDCA cycle management combined with humanized psychological intervention can help improve the implementation rate of one doctor, one patient in the outpatient clinic and improve the quality of outpatient triage.