整合持续专业发展,持续教育和质量改善:一个案例研究和对实践的影响
Sharisse M Arnold Rehring1, John F Steiner, Brian Wong
1Dr. Arnold Rehring: Director, Department of Medical Education, Colorado Permanente Medical Group, Denver CO, and clinical professor, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO. Dr. Steiner: Senior investigator, Institute for Health Research, Kaiser Permanente Colorado, Denver CO, and professor, Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora CO. Dr. Wong: Professor, Department of Medicine, University of Toronto, and director, Centre for Quality Improvement and Patient Safety, Temerty Faculty of Medicine, University of Toronto, and Staff Physician, Division of General Internal Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Dr. Goldman: Assistant professor, Department of Medicine, and Scientist, Centre for Quality Improvement and Patient Safety and Wilson Centre for Research in Education, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
在医疗保健系统中协调持续专业发展 (CPD) 和质量改进 (QI) 的努力可以带来可持续的实践变化. 这个案例研究突出了科罗拉多州的凯泽永久
科学领域:
- 医疗保健管理
- 医学教育
- 质量提升科学
背景情况:
- 持续专业发展 (CPD) 和质量提升 (QI) 旨在提高临床实践和患者的结果.
- 建议在CPD和QI之间进行对齐,但在实践中很少得到证明.
- 凯撒永久科罗拉多有超过20年的经验协调CPD和CI.
研究的目的:
- 展示如何在医疗保健系统中发展和维持CPD和QI之间的协调.
- 提供凯撒永久科罗拉多州协调CPD和QI方法的案例研究.
- 为其他医疗保健系统确定该模型的可转移元素.
主要方法:
- 部门报告结构的调整.
- 形成跨学科的教育团队.
- 将质量问题纳入继续教育活动.
- 通过决策支持工具协调CE.
- 应用基于证据的教育实践.
主要成果:
- 发展独特的教育组织文化.
- 证明了可持续的实践变革的潜力.
- 确定可转移的关键要素,包括跨专业团队和变革发展理论.
- 使用教育和临床数据进行评估.
结论:
- 凯泽永久科罗拉多公司的模型是CPD和QI专家之间的成功协调的例子.
- 这种协调促进了临床医生实践,患者护理和系统性能的改善.
- 该模型的要素可能适用于其他旨在改善实践和结果的医疗保健系统.
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