目的 通过分析二级妇幼保健院评审结果中医技质量安全管理存在的问题，为妇幼保健院提高医技质量提供借鉴。方法 分析2020—2021年重庆市20所二级甲等妇幼保健院评审医技质量管理条款评审结果，对比临床检验、影像检查(含特殊检查)条款达标率，分析重庆市各片区间的差异。结果 医技质量管理条款总体达标率较高，医院间医技质量管理持续改进A达标率差异大，最低为9.41%,最高为26.98%。医技质量管理A达标率在不同片区间的差异有统计学意义(P<0.05)。渝东北片区优于其他片区，A达标率为45.19%;渝东南片区整体达标率最低，A达标率仅为14.10%。临床检验质量管理优于影像检查(含特殊检查)质量管理，临床检验质量管理条款C达标率超过影像检查(含特殊检查)质量管理条款3.81%,B达标率超过13.42%,A达标率超过5.44%。结论 等级评审可促进妇幼保健院医技质量管理的发展，但人员、质量管理体系、质量管理工具应用、外检管理等需持续改进，地域间、专业领域间发展不均衡现象亟待改善。

Objective To analyze the problems existing in medical technology quality and safety management based on the evaluation results of secondary maternal and child health(MCH) care hospitals, so as to provide evidence for MCH care hospitals to improve the quality of medical technology. Methods The review results of medical technology quality management items from 20 secondary MCH hospitals in Chongqing were analyzed from 2020 to 2021. The rates of clinical examination and imaging examination(including special examination) reaching standard level were compared, and the differences between various areas in Chongqing were analyzed. Results The overall rates of medical technology quality management items reaching standard level was high. The rate of continuous improvement a reaching standard level A in respect of medical technology quality management between hospitals varied widely, with the lowest being 9.41% and the highest being 26.98%. That indicator were also different between various areas(P<0.05). The Northeast Chongqing area was better than other areas, with the rate being 45.19%; the Southeast Chongqing area was the lowest, with the rate being only 14.10%. The quality management of clinical examination was better than that of imaging examination(including special examination). The rates of clinical examination quality management item C, item B and item A reaching standard level was greater than those of imaging examination(including special examination) by 3.81%, 13.42%, and 5.44% respectively. Conclusion Grade evaluation can promote the development of medical technology quality management in MCH care hospitals, but staff, quality management system, application of quality management tools, external inspection management, etc. was needed to be continuously enhanced, and the uneven development between regions and professional fields was needed to be improved.