美国神经病学会在安提瓜实施使用质量改进方法的质量测量措施
Gaden Osborne1, Olivia Valenti1, Juniella Jarvis1
1Neurology Department (GO, JJ), Sir Lester Bird Medical Centre, St. John's, Antigua, West Indies; The Center for Clinical Excellence (OV, ADP); Division of Neurology (EW, JV, ADP), Nationwide Children's Hospital, Columbus, OH; and Pediatric Neurology (DFC), Dell Medical School, the University of Texas at Austin.
Neurology. Clinical practice
|December 28, 2023
概括
在安提瓜,实施质量改进方法使质量测量文档从0%增加到100%. 这表明,在资源有限的环境中,神经系统疾病的质量得到了有效的改善.
科学领域:
- 神经学 神经学
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
背景情况:
- 美国神经病学会已经制定了神经系统疾病的质量指标.
- 在整个医疗保健系统中实施这些措施存在重大差距.
- 在本研究之前,安提瓜缺乏电子健康记录和质量措施的实施.
研究的目的:
- 通过使用标准化的共同数据元素,增加质量测量措施的文档.
- 到2022年6月1日,实现每周80%的质量措施的记录,并持续六个月.
- 在Sir Lester Bird医疗中心的一家门诊神经病学诊所实施质量改善策略.
主要方法:
- 使用了卫生保健改进研究所的改进模型方法.
- 实施数据使用协议和数据分析的统计过程控制图表.
- 开发了当前和未来的状态过程地图,并为干预措施采用了计划-做-研究-行动循环.
主要成果:
- 实现了医疗保健提供者100%利用新创建的RedCap调查和数据库.
- 成功地显著增加了质量措施的文档.
- 证明了在资源有限的环境中实施质量措施的可行性.
结论:
- 质量改进方法可以有效地在各种环境中实施质量措施,增强患者护理.
- 实施质量措施可以提高临床交付的效率.
- 类似的质量改善策略适用于全球其他资源有限的地区.
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