联合委员会正在进行的专业实践评估过程:昂贵,无效,并可能对安全文化有害
Lane F Donnelly1, Daniel J Podberesky2, Alexander J Towbin3
1Professor of Radiology and Pediatrics, Departments of Radiology and Pediatrics, University of North Carolina School of Medicine, Chapel Hill, North Carolina; Executive Medical Director, Pediatric Population Health and Quality, UNC Health; Director of Quality, UNC Children's Hospital; member, ACR Peer Learning Committee.
Journal of the American College of Radiology : JACR
|September 8, 2023
概括
持续的专业实践评估 (OPPE) 在识别表现不佳的医生方面是昂贵且无效的. 这个在全国范围内耗资数百万美元的过程没有发现任何异常值,可能会对安全文化产生负面影响.
科学领域:
- 医疗保健管理局的管理.
- 医务人员评价 医务人员评价
- 提高质量 提高质量
背景情况:
- 持续的专业实践评估 (OPPE) 是监测医生绩效的标准过程.
- 对医疗保健系统来说,评估劳动力成本和OPPE在识别异常表现者的有效性至关重要.
- 以前的文献表明,OPPE可能对安全文化产生不利影响,特别是在放射学中.
结论:
- 在识别异常表现者方面,OPPE流程昂贵且效率低下.
- 专门用于OPPE的资源可以转向更具影响力的改进计划.
- OPPE与放射学安全文化的负面影响有关.
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