在质量改进中评估和处理背景的实用指南
Amy Tyler1, Michael Perry1, Ashleigh Slemmer1
1Department of Pediatrics (Hospital Medicine), Nationwide Children's Hospital, Columbus, Ohio.
了解背景对于成功改善儿科医疗保健质量 (QI) 是至关重要的. 实施科学 (IS) 提供像PRISM这样的框架来衡量和调整干预措施以适应不同的环境,改善患者的治疗结果和倡议复制.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 实施科学 实施科学
- 儿科护理研究 儿科护理研究
背景情况:
- 环境因素 (环境,社会,文化,系统) 显著影响医疗保健提供和干预成功.
- 低估上下文导致干预失败,并在不同的环境中产生不一致的结果.
- 质量改进 (QI) 和实施科学 (IS) 是相互补充的领域,重点是提高健康结果.
研究的目的:
- 突出背景在住院儿科护理质量的关键作用.
- 引入实施科学概念,以测量和解决上下文.
- 作为管理背景的框架,提出实用稳健实施和可持续性模型 (PRISM).
主要方法:
- 从实施科学 (IS) 的原则和框架中汲取.
- 通过多方面的方法概念化上下文.
- 使用实用强有力的实施和可持续性模型 (PRISM) 领域.
主要成果:
- 为了成功的干预,必须全面衡量和解决上下文因素.
- 信息系统框架提供了概念化,测量和适应不同环境的工具.
- PRISM提供了一种结构化的方法来解决上下文,包括合作伙伴参与和数据驱动的适应.
结论:
- 有效地解决上下文对于改善儿科护理中的QI成功至关重要.
- 对背景的全面,多方面的方法可以提高患者的治疗结果.
- 了解并适应环境可以提高医疗保健计划的复制性和可持续性.
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