用质量改善和患者安全工具改善健康公平的六个步骤
Anand K Narayan1, Nia Foster1, Nadja Kadom1
1From the Department of Radiology, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Ave, F6/178C, Madison, WI 53792-3252 (A.K.N., N.F.); Department of Radiology and Imaging Sciences, Emory University, Atlanta, Ga (N.K.); New York City Health and Hospitals Corporation, New York, NY (J.A.S.); Department of Radiology, Massachusetts General Hospital, Boston, Mass (E.J.F., D.D.); Department of Radiology, Lahey Hospital and Medical Center, Burlington, Mass (J.C.B.); Department of Diagnostic Imaging, Vancouver General Hospital, Vancouver, Canada (C.J.Y.H.); Department of Radiology, Mount Sinai Medical Center, New York, NY (N.J.K.); and National Academy of Medicine, Washington, DC (H.B.).
本研究概述了使用精益管理原则减少医学成像中的健康差异的六个步骤. 这些质量改进方法有助于卫生系统解决不平等问题,提高患者安全.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高质量 提高质量
- 健康 公平 卫生 公平
背景情况:
- 卫生公平对于高质量的护理至关重要,COVID-19大流行凸显了现有的差异.
- 几十年的研究表明成像差异,但有效的干预措施仍然很少.
- 质量和安全框架提供了一条评估和减少这些差异的途径.
研究的目的:
- 为卫生系统提供实用指南,以解决医学成像中的健康公平问题.
- 适应精益管理工具以提高质量和患者安全的举措.
- 授权组织通过数据驱动的策略来减少成像差异.
主要方法:
- 调整源自丰田生产系统的精益管理工具,以提高医疗保健质量.
- 实施六步过程:问题识别,团队建设,数据基础设施创建,问题分析,解决方案开发/测试和变化管理.
- 使用结构化方法催化和评估旨在减少差距的干预措施.
主要成果:
- 拟议的六步框架提供了一种系统的方法来解决成像中的健康公平问题.
- 精益工具可以有效地应用,以确定差异的根本原因,并实施有针对性的解决方案.
- 成功实施可导致成像服务内的健康公平持续改善.
结论:
- 精益管理为卫生系统提供了一个强大的框架,以解决和减少成像差异.
- 一种系统的,数据驱动的方法对于创建和维持健康公平倡议至关重要.
- 应用这些质量改进原则可以在医学成像中带来更公平的患者护理.
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