外部还是内部的基准测试?
1Margo Halm is a nurse scientist consultant in Portland, OR. Contact author: margohalm@gmail.com. The author has disclosed no potential conflicts of interest, financial or otherwise.
本研究探讨了在医疗保健改进计划中遇到的实际挑战和现实. 它强调了在现实世界临床环境中实施变革的复杂性.
科学领域:
- 医疗保健管理的管理
- 改善临床实践的改善
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保健系统在实现可持续的质量改善方面面临着持续的挑战.
- 将基于证据的实践转化为常规的临床护理仍然是一个重大障碍.
- 了解改进的实际现实对于有效的战略开发至关重要.
研究的目的:
- 识别和分析实施医疗保健改进计划的关键现实和挑战.
- 为成功提高医疗保健质量的障碍和促进者提供见解.
- 为未来的战略提供信息,以更有效地改善医疗保健.
主要方法:
- 来自不同医疗保健机构的案例研究的定性分析.
- 采访参与改善项目的医疗保健专业人员.
- 专题分析以确定实施现实中反复出现的主题和模式.
主要成果:
- 常见的主题包括对变革的抵抗,资源限制和组织文化的复杂性.
- 经常观察到计划干预和实际实践之间的差距.
- 成功的改进往往需要适应性领导和持续的利益相关者参与.
结论:
- 改善医疗保健是一个复杂的,取决于环境的过程.
- 解决实际现实和培养适应能力是成功的关键.
- 进一步的研究应该集中在开发用于导航这些复杂性的实际框架上.
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