临床医生如何衡量急性护理的安全性和质量?
Peter J Pronovost1, Thomas Nolan, Scott Zeger
1Department of Anesthesiology/Critical Care Medicine, Johns Hopkins University School of Medicine and Bloomberg School of Public Health, Baltimore, MD, USA. ppronovo@jhmi.edu
Lancet (London, England)
|March 31, 2004
概括
提高医院护理质量需要监测绩效. 时间序列数据为医疗保健提供者提供了一种实际的方法来评估和从常规实践中学习,提高患者的治疗结果.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健服务研究 医疗服务研究
- 工业工程在医疗保健中的应用
背景情况:
- 随着对高质量的医疗保健需求的不断增长,医院医疗服务的改善是必不可少的.
- 通过优化现有的有效疗法,而不是仅仅依赖于新疗法,有显著的机会来提高患者的治疗结果.
- 有效的医疗保健改进取决于护理人员理解最佳实践,监测他们的表现和完善护理流程的能力.
研究的目的:
- 提出一种评估和从常规临床实践中学习的实用方法,以提高医疗保健质量.
- 探索工业工程绩效评估方法在医疗保健领域的应用.
- 引入时间序列数据分析作为一种工具,为护理人员提供频繁的绩效反.
主要方法:
- 将工业工程原理应用于医疗保健绩效评估.
- 使用时间序列数据分析以图形地将结果与时间相关联.
- 开发常规实践评估和学习的实用方法.
主要成果:
- 工业工程方法广泛适用于改善医疗保健质量.
- 时间序列数据可以为护理人员提供频繁的,图形化的绩效反.
- 提出的方法提供了一种实用的方法来监测和从临床实践中学习.
结论:
- 持续监测绩效对于提高医院护理质量至关重要.
- 时间序列数据分析是促进绩效反和推动质量改进的宝贵工具.
- 这些绩效监测工具的广泛采用可能会导致医疗保健质量的大幅提高.
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