Wickemeier K M, Hamm M
U.S. Health Corporation and Riverside Methodist Hospitals.
J Qual Assur. 1990 Apr-Jun;12(2):26-31. doi: 10.1111/j.1945-1474.1990.tb00035.x.
Even the best quality assurance program requires periodic review in order to attain or regain maximum efficiency and effectiveness. The JCAHO standard for annual QA program evaluation adds impetus to this obligation. Riverside Methodist Hospitals' QA program evaluation is constructed in a three year cycle. Internal evaluation in year one and external expert evaluation in year three are balanced in year two with a combined internal/external program review. The year one internal evaluation discussed in the article outlines a framework for evaluation which includes positioning the evaluation for maximum influence, identifying key QA program components and designing meaningful, comprehensive evaluation inputs. The informed judgments of professionals, as well as traditional documentation review, provide powerful evaluative insights. Evaluation outputs include a program rating, an identification of program strengths and weaknesses, and targeted recommendations for QA program improvements.
即使是最优质的质量保证计划也需要定期审查，以实现或重新获得最高效率和成效。联合委员会关于年度质量保证计划评估的标准为这一义务增添了动力。河滨卫理公会医院的质量保证计划评估以三年为一个周期构建。第一年进行内部评估，第三年进行外部专家评估，第二年则通过内部/外部联合计划审查实现平衡。本文所讨论的第一年内部评估概述了一个评估框架，其中包括将评估定位以产生最大影响、确定质量保证计划的关键组成部分以及设计有意义、全面的评估投入。专业人员的明智判断以及传统的文件审查提供了有力的评估见解。评估结果包括计划评级、计划优势和劣势的识别，以及针对质量保证计划改进的有针对性的建议。
