D'Onofrio C N
School of Public Health, University of California at Berkeley, USA.
Top Health Inf Manage. 1998 May;18(4):13-31.
Recognizing that little is known about use of quality improvement (QI) processes to enhance care of the dying, 11 large hospices exchanged information about their QI programs. These hospices reported monitoring from 3 to 50 outcomes measured by various indicators and methods. Agencies that related QI to their organization's mission, goals, and strategic plan were more likely to have dedicated QI staff; a more intense, comprehensive, and participatory QI program; and more QI projects resulting in performance enhancement. Both accomplishments and difficulties were identified in several areas, including establishing benchmarks, involving staff, and using computer technology to manage and analyze QI data.
鉴于对利用质量改进（QI）流程来改善临终护理的了解甚少，11家大型临终关怀机构交流了它们的QI项目信息。这些临终关怀机构报告称监测了通过各种指标和方法衡量的3至50项结果。将QI与组织的使命、目标和战略计划相关联的机构更有可能拥有专门的QI工作人员；更密集、全面和参与性更强的QI项目；以及更多导致绩效提升的QI项目。在几个领域都发现了成就和困难，包括确立基准、让工作人员参与以及使用计算机技术来管理和分析QI数据。
