药物滥用和精神卫生服务管理局技术转移中心网络的持续质量改进:一个过程评估
Jon Agley1, Ruth Gassman1, Kaitlyn Reho1
1Indiana University Bloomington, USA.
Evaluation & the health professions
|May 25, 2024
概括
医疗保健中的持续质量改进 (CQI) 过程存在很大差异. 这项研究评估了CQI在药物滥用和心理健康服务管理局的范围.
科学领域:
- 医疗实施科学 医疗实施科学
- 公共卫生计划评估评估
- 卫生系统中的组织学习
背景情况:
- 医疗保健研究与实践之间存在差距,需要有效的传播和实施策略.
- 像交互式系统框架这样的框架指导科学创新通过工具,培训和技术援助 (TA) 向从业者转移.
- 持续质量改进 (CQI) 和评估是实施模式的关键组成部分,但医疗保健CQI方法和结果显示出相当大的变化.
研究的目的:
- 评估药物滥用和心理健康服务管理局 (SAMHSA) 技术转移中心 (TTC) 网络中的持续质量改进 (CQI) 的过程和特征.
- 在大型技术援助和技术转让系统中,确定与CQI相关的具体概念,问题和原则.
- 探索网络内的CQI数据与政府绩效与成果法案 (GPRA) 措施之间的潜在结合.
主要方法:
- 采访了71名参与者,代表SAMHSA TTC网络内的28个中心.
- 管理了三个调查,所有中心的响应率为100%,重点是CQI,时间/努力分配和GPRA措施.
- 使用混合方法,整合采访和调查数据,以全面评估CQI流程.
主要成果:
- 识别了网络特定的概念和问题,涉及到CQI的实施和评估.
- 突出了将CQI数据与GPRA绩效指标相结合的潜在问题,表明需要更清晰的区分.
- 在一个大规模的技术援助和技术转让系统中,提供了CQI实践的完整图像.
结论:
- 在SAMHSA TTC网络中的CQI实践表现出独特的特点和挑战.
- 需要进一步的研究来澄清CQI与GPRA等强制性绩效测量系统之间的关系.
- 本评估中确定的原则可以为在技术援助和公共卫生系统中CQI的更广泛研究提供信息.
相关概念视频
01:30Health Information Technology and Healthcare Information System
827
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
827
01:30Community Based Intervention
41
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
41
01:30Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
01:05Quality Control
160
Quality control is one of the three cyclical quality assurance activities that help keep a system under statistical control. Typical quality control activities include creating quality control charts, conducting proficiency testing, and documenting and archiving results.
Quality control helps track data, visualize trends, and identify variations, making it easier to detect deviations that may affect the accuracy of an analysis. One way to do this is by generating a quality control chart, which...
Quality control helps track data, visualize trends, and identify variations, making it easier to detect deviations that may affect the accuracy of an analysis. One way to do this is by generating a quality control chart, which...
160
01:19Quality Assurance
123
Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
123
01:15Nursing Evaluation
3.3K
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
3.3K