建设能力和提高质量的能力:来自新兴区域卫生系统的见解
Yan Jun Ng1, Kelvin Sin Min Lew2, Adrian Ujin Yap3,4
1Quality, Innovation and Improvement Department, National University Health System, Singapore yan_jun_ng@nuhs.edu.sg.
BMJ open quality
|September 29, 2024
概括
朱龙医疗园区开发了一种质量改进 (QI) 框架,以提高患者护理和运营效率. 这一举措成功地提高了员工培训和改善了关键的医疗保健指标,证明了新兴卫生系统的可扩展模型.
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
- 卫生系统发展 卫生系统发展
背景情况:
- 质量改进 (QI) 对于提高患者的治疗结果,系统效率和医疗保健专业发展至关重要.
- 作为一个新的区域卫生系统,JurongHealth Campus (JHC) 寻求在所有组织层面系统地发展其QI能力和能力.
研究的目的:
- 阐明JHC开发QI能力和能力的理由和框架.
- 将高性能管理系统和改进框架与当地医疗保健环境相适应.
主要方法:
- 采用了三个阶段的方法:开发JHC QI框架,通过剂量策略建立能力,并通过使用改善模型 (MFI) 的QI项目提高能力.
- 评估了RE-AIM实施战略的覆盖率 (员工培训比例),有效性 (项目成果) 和采用 (项目整理).
主要成果:
- 在2020年1月至2024年3月期间,经过QI培训的员工从11.3%增加到22.0%,记录了350多个项目.
- 国际货币基金组织通过改善下午12点前住院患者出院率 (21.52%至25.84%) 和降低30天再接收率 (13.92%至12.96%),证明了其有效性.
结论:
- 确定了有效的QI框架的四个关键因素:共同的语言,定义的角色/技能,基于角色的培训剂量,以及培训人员的临界量.
- 开发的QI方法是务实的,可扩展的,适用于新兴的医疗机构,以建立QI能力.
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