How can clinicians measure safety and quality in acute care?

被引：3

作者：

Pronovost, Peter J. ^{[1
,3
,4
,6
]}

Nolan, Thomas ^{[7
]}

Zeger, Scott ^{[2
]}

Miller, Marlene ^{[4
,5
]}

Rubin, Haya ^{[5
]}

机构：

[1] Johns Hopkins Univ, Dept Anesthesiol Crit Care Med, Sch Med, Baltimore, MD 21287 USA

[2] Johns Hopkins Univ, Dept Biostat, Sch Med, Baltimore, MD 21287 USA

[3] Johns Hopkins Univ, Dept Surg, Sch Med, Baltimore, MD 21287 USA

[4] Johns Hopkins Univ, Dept Pediat, Sch Med, Baltimore, MD 21287 USA

[5] Johns Hopkins Univ, Dept Med, Sch Med, Baltimore, MD 21287 USA

[6] Johns Hopkins Univ, Dept Hlth Policy & Management, Sch Med, Baltimore, MD 21287 USA

[7] Johns Hopkins Univ, Inst Healthcare Improvement, Sch Med, Baltimore, MD 21287 USA

来源：

INTERNATIONAL JOURNAL OF NURSING STUDIES | 2011年 / 48卷 / 03期

关键词：

IMPROVEMENT; INDICATORS;

D O I：

10.1016/j.ijnurstu.2010.12.001

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

The demand for high quality care is increasing and warranted. Evidence suggests that the quality of care in hospitals can be improved. The greatest opportunity to improve outcomes for patients over the next quarter century will probably come not from discovering new treatments but from learning how to deliver existing effective therapies. To improve, caregivers need to know what to do, how they are doing, and be able to improve the processes of care. The ability to monitor performance, though challenging in healthcare, is essential to improving quality of care. We present a practical method to assess and learn from routine practice. Methods to evaluate performance from industrial engineering can be broadly applied to efforts to improve the quality of healthcare. One method that may help to provide caregivers frequent feedback is time series data-ie, results are graphically correlated with time. Broad use of these tools might lead to the necessary improvements in quality of care.

引用

页码：347 / 358

页数：12

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