在医疗保健质量和患者安全以及临床研究项目中实施基于证据的质量改进
Evelyn O'Shea1, Anita O'Donovan, Sharon Sheehan
1Author Affiliations: St. Luke's Radiation Oncology Network, SLRON Rathgar, Dublin, Ireland (Ms O'Shea, Prof Brennan, Prof Gillham, and Dr Daly); Coombe Women & Infants University Hospital, CWIUH Dublin, Ireland (Ms O'Shea, Prof Sheehan, and Dr Popivanov); Naas General Hospital, NGH Naas, Co. Kildare, Ireland (Ms O'Shea and Dr Bergin); Discipline of Radiation Oncology, School of Medicine, Trinity College Dublin St. James's Hospital, Dublin, Ireland (Dr O'Donovan and Prof Coffey); Dublin Midlands Hospital Group (Prof Sheehan), and Quality & Patient Safety Directorate, Health Services Executive Dr Steevens' Hospital, Dublin, Ireland (Dr Flynn and Dr Browne).
医疗保健中的质量改善 (QI) 当简化并涉及最前线团队和患者时最有效. 这种方法推动了基于证据的改进,并改善了各种环境中的患者护理.
科学领域:
- 医疗管理
- 改善临床质量
- 患者安全研究
背景情况:
- 质量改善 (QI) 是医疗保健中的一个独特学科.
- 了解QI,临床审计,质量保证和临床研究之间的细微差别至关重要.
- 强大的组织治理对于成功的QI倡议至关重要.
研究的目的:
- 定义质量改进 (QI) 并将其与相关概念区分开来.
- 为医疗保健专业人员提供简化,基于证据的QI方法.
- 强调组织治理在QI中的重要性.
主要方法:
- 作者利用了来自不同医疗机构 (产科,瘤学,普通医院,学术界) 的多种QI经验.
- 证明了在不同专业和多学科团队中实施QI的可行性.
- 专注于将QI整合到现有的临床审计和反系统中.
主要成果:
- 在临床审计和反机制中嵌入QI有助于学习和基于证据的改进.
- 强有力的治理和问责是维持QI努力和影响的关键.
- 证实QI活动能够支持和加强临床研究,最终改善患者的治疗结果.
结论:
- 涉及前线团队和患者的简化QI方法最有效.
- 在各种医疗保健环境中成功应用QI方法强调了其广泛适用性.
- 通过促进持续改进和加强患者护理,QI显著有利于医疗服务.
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