Schwartz H W
University of Minnesota Hospital and Clinic, Minneapolis.
Radiol Manage. 1992 Summer;14(3):45-57.
Mr. Schwartz's article chronicles the development of continuous quality improvement in healthcare. Beginning with a discussion of the Joint Commission's shift from quality assurance to CQI, Mr. Schwartz goes on to explore the theories of Crosby, Deming, Juran and others whose ideas have shaped the CQI movement. He also identifies quality assessment and improvement standards, statistical methods favored by the JCAHO, ways of demonstrating CQI, and the differences between QA and CQI/TQM. In addition, he provides suggestions on implementing a CQI action plan and describes some of the obstacles faced by managers trying to execute such programs.
施瓦茨先生的文章记载了医疗保健领域持续质量改进的发展历程。文章开篇讨论了联合委员会从质量保证向持续质量改进的转变，接着施瓦茨先生探讨了克罗斯比、戴明、朱兰等人的理论，这些人的思想塑造了持续质量改进运动。他还明确了质量评估与改进标准、联合委员会认可的统计方法、持续质量改进的展示方式，以及质量保证与持续质量改进/全面质量管理之间的差异。此外，他就实施持续质量改进行动计划提出了建议，并描述了试图执行此类计划的管理人员所面临的一些障碍。
