Dagher M
Memorial Medical Center, Jacksonville, FL.
Physician Exec. 1990 Nov-Dec;16(6):14-6.
High patient volumes requiring rapid turn around times, critical decision making processes, and a necessity for establishing an accurate working diagnosis are a few of the many challenges in hospital emergency departments. Quality management, rather than quality assurance, most accurately describes how activities in the emergency department should be monitored to meet these challenges. Already an important factor in manufacturing and service industries across the United States, quality management will become the essential driving force in the health care industry. To survive in the '90s, the emergency department must include in its goals the development of plans and processes that meet the challenge of the ED environment and that focus on customer satisfaction.
医院急诊科面临诸多挑战，其中包括大量患者需要快速周转、关键决策流程以及准确做出有效诊断的必要性等。质量管理，而非质量保证，最准确地描述了应如何监测急诊科的活动以应对这些挑战。质量管理在美国制造业和服务业中已经是一个重要因素，它将成为医疗行业的关键驱动力。为了在20世纪90年代生存下来，急诊科必须将制定应对急诊科环境挑战并注重患者满意度的计划和流程纳入其目标。
