评估初级医生的质量改善影响 - - 一份10年复习报告
Charlotte Anne O'Leary1, Laura Piu1, George Braitberg2
1Quality Improvement and Patient Experience, The Royal Melbourne Hospital, Parkville, Vic., Australia.
概括
改进院医务官 (IHMO) 轮换有效地让初级医生参与质量改进 (QI) 计划. 该计划促进创新,并通过赋予医生识别和解决系统效率低下的问题来增强患者安全.
科学领域:
- 医疗保健管理的管理
- 医学教育 医学教育
- 患者安全 患者安全
背景情况:
- 初级医生对于识别医疗保健系统的低效率至关重要,因为他们与患者有密切的接触.
- 质量改善 (QI) 计划从初级医生提供的新鲜视角中受益.
- 建立了一个专门的角色,即改善医院医务官 (IHMO),以促进初级医生参与QI.
研究的目的:
- 描述和评估皇家墨尔本医院的影响力医疗官员 (IHMO) 轮换.
- 评估IHMO在促进初级医生参与质量改进方面的作用的有效性.
主要方法:
- 进行了一项混合方法研究,将过去的IHMO调查 (2011年以来) 与其QI项目的审查相结合.
- 分析了40个IHMO中的27个调查数据.
主要成果:
- 初级医生被激励加入IHMO轮换,以改善工作条件 (74%) 和患者医疗保健质量 (67%).
- 超过40个QI项目由IHMO领导或共同领导.
- 受访者报告说,在随后的工作中 (82%) 使用轮换中获得的技能,尽管轮换时间短,机构变化缓慢等挑战存在.
结论:
- IHMO轮换为初级医生提供了一个有影响力的,体验性的途径,让他们参与QI.
- 全员初级医生参与QI培养了创新和患者安全的文化.
- 解决诸如旋转长度和组织导航等障碍是最大限度地提高计划成功的关键.
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