为前线医疗保健工作人员制定和试点实施同行质量改进指导协议
Petar Popivanov1, Siobhan Eithne McCarthy2, Mairead Finn2
1Coombe Women and Infants University Hospital, Dublin, Ireland ppopivanov@coombe.ie.
BMJ open quality
|February 8, 2025
概括
同行质量改进指导 (PQIC) 有效地支持质量改进 (QI) 倡议的前线医疗保健工作者. 这种基于证据的协议增强了QI知识和技能,证明了改善患者护理的有价值方法.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医学教育和培训 医学教育和培训
- 医疗保健中的组织行为
背景情况:
- 提高患者护理质量是全球优先事项,但证据显示,前线医疗保健工作者对改善原则的采用较差.
- 虽然仅靠教育是不够的,但指导对于可持续的,基于证据的改进实施至关重要.
- 同行质量改进指导 (PQIC) 利用教练-教练关系来提高质量改进 (QI) 的结果.
研究的目的:
- 开发和试验一个基于证据的协议来实施和评估PQIC.
- 该协议旨在支持前线人员在中小的改进工作.
- 使用已建立的评估工具评估PQIC的有效性.
主要方法:
- 采用了多个阶段的案例研究设计.
- 一个系统化的文献审查确定了QI辅导 (QIC) 中的关键主题.
- 根据文献主题,布卢姆的分类学和柯克帕特里克的模型开发了PQIC协议,然后在第三级分娩医院进行了试点.
主要成果:
- 文献审查产生了QIC有效性,策略和评估方法的主题.
- 试点的PQIC协议包括教育,指导和评估阶段.
- 参与者在教育阶段表现出色,受过指导的员工表现出提高了QI知识和技能.
结论:
- 开发的PQIC协议是以证据为基础的,并支持前线医疗保健工作者改善工作.
- 本协议有助于国际证据支持医疗保健工作人员在QI.
- 需要进一步的研究来评估该协议在不同环境中的有效性.
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