使用质量改进来改善英格兰NHS的严重事件报告
Carlos Santos1, Abiola Ajayi-Obe2, Marco Aurelio3
1Quality Improvement Department, East London NHS Foundation Trust, London, UK carlos.santos1@nhs.net.
BMJ open quality
|July 16, 2025
概括
一项质量改进计划显著减少了严重事件报告完成时间,从208天减少到74天. 这通过简化流程和改善医疗保健组织的问责制来提高患者安全和监管合规性.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 监管合规性 监管合规性
背景情况:
- 严重事件报告的延迟会对患者安全和组织学习产生负面影响.
- 东伦敦NHS基金会信托 (ELFT) 的平均完成时间为208天,超过了60天的目标.
- 这种积压影响了一家为大约180万人服务的医疗保健提供者.
研究的目的:
- 为了解决严重事件报告完成时间的重大延误.
- 通过流程优化,提高患者安全和监管合规性.
- 在一个大型医疗保健信托机构中实施和评估质量改进计划.
主要方法:
- 采用结构化质量改进 (QI) 方法,包括ELFT改进序列.
- 使用统计过程控制,石川分析,驱动图和计划-做-研究-行动循环.
- 实施了三个关键干预措施:简洁的报告模板,案件负载追踪器和团队升级会议.
主要成果:
- 平均报告完成时间减少了65%,从208天减少到74天.
- 加强员工协作,工作流效率和问责制.
- 在组织内培养持续改进和学习的文化.
结论:
- 结构化QI方法在改善严重事件报告流程方面是有效的.
- 实施的变化是可持续的,并为其他医疗机构提供了可扩展的模型.
- 未来的努力将集中在将改进纳入常规实践和评估更广泛的组织学习影响上.
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