开发一个高度可靠的学习健康系统
Robert El-Kareh1,2,3, David A Brenner1,4,5, Christopher A Longhurst1,2,3
1Department of Medicine UC San Diego Health San Diego California USA.
Learning health systems
|July 14, 2023
概括
医疗保健组织可以通过将高可靠性医疗保健和学习健康系统集成到一个统一的模型中来改进. 这种综合方法促进了质量和弹性文化的发展,有助于应对流行病,并履行了关怀,教育和创新的使命.
科学领域:
- 医疗保健管理的管理
- 提高质量 提高科学 提高质量
- 组织发展组织发展.
背景情况:
- 医疗保健组织利用各种框架进行持续改进.
- 高可靠性医疗保健和学习健康系统是突出的,但往往是独立的模型.
- 联合委员会强调高可靠性医疗保健;国家医学院强调学习健康系统.
研究的目的:
- 提出一个统一的模型,整合高可靠性医疗保健和学习健康系统.
- 描述由这种综合模型产生的组织努力.
- 为了证明框架在应对COVID-19流行病等挑战中的实用性.
主要方法:
- 两个已建立的医疗保健改进框架的概念整合.
- 描述实施综合模型的实际组织举措.
- 对模型对组织性和使命履行的影响的定性评估.
主要成果:
- 成功实施"高度可靠的学习健康系统"框架.
- 在COVID-19大流行期间,组织举措表现出了弹性.
- 综合模型支持质量,教育和创新的文化.
结论:
- 紧密结合高可靠性医疗保健和学习健康系统,创造了一个协同作用的"高可靠性学习健康系统".
- 这一综合框架增强了管理危机和履行三方使命的组织能力.
- 该模型促进了医疗保健团队中质量改善的可持续文化.
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