Dennington S R, Wilkinson D S
George Washington University Medical Center, Washington, DC.
Clin Lab Manage Rev. 1993 Nov-Dec;7(6):516-9.
Total quality management and continuous quality improvement are important tools for survival in today's turbulent economy. The George Washington University Medical Center (GWUMC) has initiated institution-wide training in total quality improvement. The FOCUS-PDCA process is one specific instrument used at GWUMC to pursue the goal of total quality. The FOCUS-PDCA acronym stands for: Find a process to improve; Organize a team that knows the process; Clarify current knowledge of the process; Understand the causes of process variation; Select the process improvement; and then Plan, Do, Check, Act. The FOCUS-PDCA process was used to solve a real-world problem in the Central Laboratory of GWUMC. Dramatic improvement in the success rate of phlebotomists resulted, and the percent of "unable to draw" events decreased from more than 5% to less than 1%.
全面质量管理和持续质量改进是在当今动荡的经济环境中生存的重要工具。乔治华盛顿大学医学中心（GWUMC）已启动了全机构范围的全面质量改进培训。FOCUS-PDCA 流程是 GWUMC 用于追求全面质量目标的一种特定工具。FOCUS-PDCA 首字母缩写代表：找到一个要改进的流程；组建一个了解该流程的团队；澄清对该流程的现有认识；理解流程变异的原因；选择流程改进措施；然后进行计划、执行、检查、行动。FOCUS-PDCA 流程被用于解决 GWUMC 中央实验室的一个实际问题。采血技师的成功率得到了显著提高，“无法采血”事件的百分比从超过 5%降至不到 1%。
